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Washington rates for HCPCS B4034

Enteral Feeding Supply Kit; Syringe Per Day (Special Coverage Instructions Apply. See Cim: 65-10 And Mcm: 2130 4450)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.93 / $3.93 / $3.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $3.93 / $4.59
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.32 / $6.70 / $85.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.17 / $3.21 / $5.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.61 / $1.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.43 / $5.43 / $6.64
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.73 / $3.92 / $6.03
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $5.79 / $9.41
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.62 / $3.62 / $8.34
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.58 / $5.86 / $10.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.17 / $3.17 / $5.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $8.47 / $11.92