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Washington rates for HCPCS A6510

Compression burn garment, trunk, including arms down to leg openings (leotard), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $2.86 / $2.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.26 / $2.18
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $316.79
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.00 / $285.00 / $407.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.58 / $309.58 / $309.58
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
$368.58 / $368.58 / $79,999.20
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.58 / $368.58 / $368.58
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.00 / $285.00 / $285.00