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Washington rates for HCPCS A4616

Tubing (Oxygen) Per Foot (Special Coverage Instructions Apply. See Cim: 60-4 And Mcm: 3312)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.11 / $0.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.05 / $0.11
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $90.00 / $90.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.07 / $5.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.06
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.49 / $0.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.48 / $0.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $75.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.08 / $0.09
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.09
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.07 / $0.13
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.09 / $0.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.07 / $0.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.07
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.23 / $0.23