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Washington rates for HCPCS 43501

Gastrotomy W/Suture Repair Bleeding Ulcer

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,822.41 / $3,445.27 / $20,680.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,854.51 / $12,474.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $714.97 / $947.00
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,264.80 / $2,599.17 / $3,373.40
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,907.57 / $2,575.57 / $2,718.86
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,825.14 / $1,825.14 / $1,854.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.00 / $1,120.00 / $5,793.00