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Washington rates for HCPCS E1399

Durable medical equipment, miscellaneous

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.80 / $44.80 / $125.60
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $214.45
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.45 / $214.45 / $64,999.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.05 / $25.05 / $25.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $50.00 / $85.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,000.00 / $4,000.00 / $79,999.20
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,000.00 / $4,000.00 / $4,000.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.00 / $430.00 / $430.00