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Washington rates for HCPCS A4653

Peritoneal dialysis catheter anchoring device, belt, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.88 / $4.88 / $11.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $4.88 / $11.57
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $5.39 / $6.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $50.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00