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Washington rates for HCPCS 42953

Pharyngoesophageal Repair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,413.02 / $2,663.20 / $20,680.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,312.50 / $7,856.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $870.49 / $947.00
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$956.35 / $1,931.59 / $2,483.89
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,410.71 / $1,833.12 / $1,924.27
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,296.03 / $1,296.03 / $1,312.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.00 / $1,120.00 / $5,793.00