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Washington, DC rates for HCPCS 43622

Gstrct Tot W/Frmj Intstinal Pouch Any Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $2,080.00 / $7,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,200.82 / $2,673.84 / $2,673.84
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,400.00 / $2,542.69 / $3,381.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,058.92 / $2,751.81 / $5,977.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,368.11 / $4,730.42 / $5,189.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $1,319.00 / $16,382.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,828.17 / $2,484.16 / $6,308.12