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Washington rates for HCPCS 43830

Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$963.70 / $1,794.79 / $20,680.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,392.38 / $7,123.96
Asuris Northwest Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$216.75 / $382.77 / $382.77
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
$726.01 / $1,399.88 / $2,117.81
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$993.23 / $1,354.74 / $1,419.73
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$952.66 / $952.66 / $968.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,118.93 / $5,392.38 / $10,315.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.00 / $2,038.00 / $10,522.00