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Washington rates for HCPCS 43840

Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $3,467.37 / $20,892.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $707.95 / $954.99
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $2,691.53 / $5,128.61
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $2,630.27 / $2,754.23
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $1,862.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,481.54 / $14,791.08 / $28,840.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $12,022.64 / $21,379.62