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Microcapillary Tube Sealant

Washington rates for HCPCS A4652

Microcapillary tube sealant

Rates data updated October 2026.

How much does Microcapillary Tube Sealant cost?

$0.35

Typical physician fee. In Washington, October 2026.

Insurers have agreed to pay about $0.35 for this service. Most negotiated rates run $0.12 to $0.35.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $0Professionalmedian $0 · 10th to 90th $0 to $0
$0.2$1$5$20facility $0professional $0

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$0.12
Median
$0.12
Typical High
$0.12
Aetna
Setting
Professional
Modifier
None
Typical Low
$0.12
Median
$0.12
Typical High
$0.12
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$0.06
Median
$0.06
Typical High
$0.06
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
Asuris Northwest Health
Setting
Professional
Modifier
None
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
Cigna
Setting
Professional
Modifier
None
Typical Low
$0.35
Median
$0.35
Typical High
$0.35
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$50.12
Typical High
$75.86
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$25.70
Typical High
$25.70

Where Washington sits

The same service costs 660.7 times more in Montana than in Louisiana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Washington· 12th of 51

$0.35

MT $79.43LA $0.12

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.