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Washington rates for HCPCS A9999

Miscellaneous DME supply or accessory, not otherwise specified

Insurance Carrier
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.56 / $6.56 / $64,999.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.08 / $70.08 / $70.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $50.00 / $80.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20