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Washington rates for HCPCS 43772

Laps Gastric Restrictive Px Remove Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,722.49 / $5,116.62 / $20,680.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,132.17 / $12,529.85 / $20,760.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $714.97 / $947.00
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,041.75 / $1,982.15 / $3,229.57
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,365.29 / $1,824.81 / $1,914.19
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,286.07 / $1,439.64 / $3,045.78
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,290.07 / $10,853.10 / $20,996.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $2,759.00 / $11,941.00