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Washington rates for HCPCS Q4189

Artacent AC, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.27 / $21.27 / $21.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.02 / $21.27 / $21.27
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $93.83 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.27 / $95.08 / $100.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.27 / $21.27 / $42.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.27 / $21.27 / $21.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.48 / $21.48 / $21.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $21.48 / $25.78
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.27 / $21.27 / $21.27