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Washington rates for HCPCS 43631

Gstrct Prtl Dstl W/Gastroduodenostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,958.11 / $3,711.56 / $20,680.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,986.58 / $13,365.04
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
$1,362.14 / $2,819.03 / $3,622.93
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,060.94 / $2,775.72 / $2,912.49
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,957.41 / $1,957.41 / $1,986.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.00 / $1,120.00 / $5,793.00