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Washington rates for HCPCS 43621

Gastrectomy, total; with Roux-en-Y reconstruction

Facilitymedian $4,467 · 10th–90th $2,399–$10,2330%10%10th90th$4,467$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,168.69 / $5,623.41 / $20,892.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $870.96 / $3,890.45
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $3,715.35 / $5,623.41
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $4,365.16 / $4,466.84
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,090.30 / $3,090.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $1,258.93 / $3,715.35