go back

Washington rates for HCPCS A4615

Cannula Nasal (Special Coverage Instructions Apply. See Cim: 60-4 And Mcm: 3312)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.57 / $1.32 / $1.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.65 / $1.38
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $90.00 / $90.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.87 / $11.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $0.61 / $0.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.52 / $0.76
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $1.02 / $2.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $1.02 / $2.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $70.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $1.00 / $1.02
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $1.02 / $1.02
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $0.89 / $0.89
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.00 / $1.14
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $0.87 / $1.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.43 / $0.82
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.50