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Washington rates for HCPCS A4481

Tracheostoma filter, any type, any size, each

Facilitymedian $1 · 10th–90th $0–$10%20%10th90th$1Professionalmedian $0 · 10th–90th $0–$10%20%10th90th$0$0.2$1.0$5.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.24
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.44 / $0.44 / $0.44
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.44 / $0.44 / $0.56
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.28 / $0.31 / $0.39
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.26 / $0.26 / $0.31
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.42 / $0.60 / $0.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.62 / $0.83
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.43 / $0.50 / $0.51
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.46 / $0.46 / $0.65
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.43 / $0.45 / $0.83
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.44 / $0.56
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.20 / $0.25 / $0.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.21 / $0.26 / $0.42
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.30 / $0.44 / $0.78