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Washington rates for HCPCS E1699

Dialysis equipment, not otherwise specified

Insurance Carrier
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.50 / $81.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $80.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20