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Washington rates for HCPCS 43621

Gstrct Tot W/Roux-En-Y Rcnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,049.07 / $5,326.06 / $20,680.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $3,106.69 / $20,877.52
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
$2,128.15 / $4,374.06 / $5,662.07
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,231.55 / $4,331.51 / $4,554.66
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,062.28 / $3,062.28 / $3,106.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.00 / $1,120.00 / $5,793.00