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Washington rates for HCPCS A4550

Surgical Trays

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $15.85 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $15.14 / $26.92
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $44.67 / $53.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $44.67 / $56.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $50.12 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $38.90 / $39.81
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $26.92 / $26.92
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $38.90 / $57.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $12.88 / $21.38