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Washington rates for HCPCS 43775

Laps Gstrc Rstrictiv Px Longitudinal Gastrectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.05 / $3,102.66 / $20,680.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,509.47 / $15,184.32 / $22,630.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$152.35 / $502.13 / $502.13
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
$1,198.76 / $2,364.30 / $3,394.18
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,694.41 / $2,092.04 / $2,213.01
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,496.26 / $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 / $4,686.00 / $19,271.00