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Washington rates for HCPCS A4481

Tracheostoma Filter Any Type Any Size Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.66 / $0.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.28 / $0.69
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.46 / $3.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.39
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.56 / $0.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.55 / $0.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $0.50 / $0.51
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.51 / $0.51
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $0.45 / $0.83
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.49 / $0.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.43 / $0.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.23 / $0.42
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.30 / $0.30