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Washington rates for HCPCS 43653

Laps Surg Gastrostomy W/O Constj Gstr Tube Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,059.60 / $6,470.00 / $26,561.81
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,598.26 / $16,223.75 / $26,542.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$924.53 / $1,537.78 / $1,537.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,877.15 / $2,285.42 / $6,775.01
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.87 / $1,192.61 / $6,197.13
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.91 / $1,110.19 / $1,171.16
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$784.14 / $2,010.99 / $3,875.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,603.20 / $16,351.48 / $31,278.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,900.00 / $4,686.00 / $19,271.00