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Washington rates for HCPCS A4649

Surgical supply; miscellaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.82 / $2,756.20 / $5,904.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $33.60 / $310.39
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $760.00 / $760.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.68 / $64,999.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $2.87 / $2.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.50 / $85.00 / $93.50
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.50 / $240.50 / $79,999.20
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.50 / $240.50 / $240.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.77 / $12.77 / $12.77