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Washington rates for HCPCS A4740

Shunt accessory, for hemodialysis, any type, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.52 / $28.52 / $64.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.68 / $28.52 / $41.51
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.01 / $15.30 / $75.00
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
$2.00 / $2.00 / $2.00