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Washington rates for HCPCS A4500

Surgical stockings below knee length, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.83 / $6.42 / $6.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.53 / $2.83 / $4.90
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.16 / $6.66 / $90.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $9.52 / $29.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $2.12 / $2.12
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $7.25 / $8.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $7.40 / $9.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $50.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $6.61 / $6.70
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.53 / $4.53 / $4.57
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $7.48 / $9.07
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $5.00 / $9.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $2.17 / $3.61
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.28 / $12.28 / $12.28