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Washington rates for HCPCS A6507

Compression burn garment, foot to knee length, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $4.61 / $4.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $3.51
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $174.25
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.00 / $109.21 / $533.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.87 / $93.87 / $93.87
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
$122.86 / $122.86 / $79,999.20
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.86 / $122.86 / $122.86
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.00 / $98.00 / $98.00