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Washington rates for HCPCS 43848

Revision Open Gastric Restrictive Px Not Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,605.75 / $4,865.56 / $20,680.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,653.80 / $26,755.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $870.49 / $947.00
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,809.47 / $3,738.46 / $4,836.30
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,737.63 / $3,695.61 / $3,890.69
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,607.02 / $2,607.02 / $2,653.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.00 / $1,120.00 / $5,793.00