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Washington rates for HCPCS 43510

Gstrt W/Esophgl Dilat&Insj Prm Intral Tube

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,292.80 / $2,368.13 / $20,680.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.29 / $1,235.07 / $2,456.32
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,568.87 / $8,801.84
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,333.50 / $2,256.15 / $8,425.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $714.97 / $947.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.26 / $1,687.60 / $2,852.13
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$826.39 / $1,670.40 / $2,615.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.40 / $1,584.00 / $2,383.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.21 / $362.00 / $2,131.81
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,298.46 / $1,795.60 / $1,917.54
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,286.97 / $1,286.97 / $1,307.93
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,363.68 / $2,164.00 / $2,611.92
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,814.55 / $2,568.87 / $4,913.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,519.94 / $1,881.48 / $2,458.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.00 / $1,120.00 / $6,857.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.85 / $1,596.99 / $2,745.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.35 / $1,004.54 / $1,004.54