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Washington rates for HCPCS A6505

Compression burn garment, glove to elbow, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $170.25 / $177.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $129.75
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $146.57
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.92 / $188.44 / $655.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.27 / $98.27 / $98.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.43 / $147.43 / $79,999.20
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.43 / $147.43 / $147.43
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.00 / $187.00 / $187.00