HCPCS A9155
Artificial saliva, 30 ml
Retired code18 hospitals with prices
This code is retired. Some hospitals still list it.
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $13.50 – $22.03 | — | — |
| Deaconess Medical Center | $13.50 – $14.89 | — | — |
| Mary Bridge Children's Hospital | $13.50 – $26.20 | — | — |
| MultiCare Auburn Medical Center | $13.50 – $26.20 | — | — |
| MultiCare Covington Medical Center | $13.50 – $26.20 | — | — |
| MultiCare Good Samaritan Hospital | $13.50 – $26.20 | — | — |
| MultiCare Valley Hospital | $13.50 – $14.89 | — | — |
| Overlake Hospital Medical Center & Clinics | $14.62 – $18.88 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $5.50 | — | — |
| Providence Holy Family Hospital | $5.50 | — | — |
| Providence Regional Medical Center Everett | $5.50 | — | — |
| Swedish Edmonds Hospital | $5.50 | — | — |
| Swedish Issaquah | $5.50 | — | — |
| Swedish Medical Center | $5.50 | — | — |
| Swedish Medical Center / Cherry Hill | $5.50 | — | — |
| Tacoma General Allenmore Hospital | $13.50 – $26.20 | — | — |
| Virginia Mason Medical Center | $22.45 | — | — |
| Yakima Valley Memorial | $18.46 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.