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Washington rates for HCPCS 43647

Laps Impltj/Rplcmt Gastric Nstim Eltrd Antrum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$816.83 / $10,122.46 / $22,024.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.89 / $657.03 / $889.22
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $38,581.23 / $53,671.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.94 / $1,449.37 / $5,696.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,877.15 / $2,009.00 / $2,349.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.99 / $1,272.09 / $1,975.67
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$703.92 / $1,416.82 / $21,931.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.59 / $1,215.09 / $15,869.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $50.00 / $65.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$805.72 / $1,002.97 / $1,307.83
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$833.52 / $833.52 / $892.06
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.92 / $1,400.06 / $1,770.66
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,671.67 / $38,236.33 / $73,843.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.40 / $1,199.76 / $1,591.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $7,585.00 / $24,236.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.84 / $920.70 / $1,324.71
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.11 / $742.11 / $742.11