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Washington rates for HCPCS A4750

Blood Tubing Arterial Or Venous For Hemodialysis Each (Special Coverage Instructions Apply. See Mcm: 4270)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $16.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $6.66 / $8.69
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $90.00 / $90.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.49 / $23.80 / $72.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $6.87 / $6.87
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.75 / $14.22 / $22.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $14.17 / $22.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.87 / $22.52 / $33.46
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.75 / $16.52 / $16.75
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.76 / $18.73 / $22.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.92 / $17.60 / $25.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.61 / $5.41 / $9.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.66 / $6.66 / $6.66