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Washington rates for HCPCS A4550

Surgical Trays (Not Valid For Medicare)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.71 / $37.93 / $39.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.19 / $16.71 / $37.93
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.90 / $117.05 / $117.05
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.49 / $53.73 / $171.75
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
$21.08 / $42.18 / $53.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $43.50 / $56.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $50.00 / $60.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.96 / $38.97 / $39.53
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.73 / $26.73 / $26.96
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.49 / $44.89 / $53.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.45 / $12.77 / $21.29
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.41 / $16.41 / $16.41