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Washington rates for HCPCS 43644

Laps Gstr Rstcv Px W/Byp Roux-En-Y Limb <150 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,574.23 / $5,128.00 / $22,024.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,346.54 / $8,500.00 / $23,994.24
Asuris Northwest Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$240.49 / $792.48 / $792.48
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
$1,627.81 / $3,353.10 / $4,344.09
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,465.19 / $3,314.94 / $3,490.03
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,346.54 / $3,277.62 / $6,637.66
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,035.59 / $22,245.00 / $35,837.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,900.00 / $6,102.00 / $18,897.00