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Washington rates for HCPCS 43285

Removal Esophageal Sphincter Agmntj Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.95 / $5,128.00 / $25,871.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.29 / $872.40 / $1,695.02
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,800.00 / $14,160.61 / $21,602.23
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.62 / $1,570.86 / $5,955.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $870.49 / $6,775.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.87 / $1,194.03 / $2,017.98
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.12 / $1,464.68 / $6,295.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.95 / $1,329.78 / $4,564.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.76 / $750.01 / $1,507.59
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.57 / $1,293.05 / $1,355.41
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$909.17 / $2,429.53 / $3,875.03
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.36 / $1,529.41 / $1,845.98
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,931.42 / $16,351.48 / $31,278.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.75 / $1,329.92 / $1,749.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,900.00 / $4,686.00 / $19,271.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.89 / $1,105.49 / $1,940.65
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.79 / $711.55 / $711.55