HCPCS A4266
Diaphragm for contraceptive use
Current code12 hospitals with prices
What Washington hospitals publish for this code
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | — | — |
| Deaconess Medical Center | — | — | — |
| Island Hospital | $21.00 | $42.00 | $42.00 |
| Legacy Salmon Creek Medical Center | — | $60.45 | $93.00 |
| Mary Bridge Children's Hospital | — | — | — |
| MultiCare Auburn Medical Center | — | — | — |
| MultiCare Covington Medical Center | — | — | — |
| MultiCare Good Samaritan Hospital | — | — | — |
| MultiCare Valley Hospital | — | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| Tacoma General Allenmore Hospital | — | — | — |
| Virginia Mason Medical Center | — | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.