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Washington rates for HCPCS A4615

Cannula, nasal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.38 / $1.38 / $1.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.09 / $4.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.62 / $0.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.52 / $0.72
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $1.02 / $2.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $1.00 / $2.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $1.00 / $1.02
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $1.02 / $1.02
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $0.89 / $1.66
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $1.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $0.87 / $1.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $0.56 / $0.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.43 / $0.81
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.87 / $1.55