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Washington rates for HCPCS 43107

Tot Esophagectomy W/O Thorcom W/Wo Pyloroplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,965.99 / $6,406.62 / $20,680.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $4,029.37 / $54,164.80
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
$2,795.27 / $5,229.85 / $7,355.63
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,682.82 / $5,130.14 / $5,907.39
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,968.28 / $3,968.28 / $4,029.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.00 / $1,120.00 / $5,793.00