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Washington rates for HCPCS 43860

Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; without vagotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,204.19 / $4,186.18 / $20,680.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,239.76 / $15,069.52
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
$1,538.53 / $3,178.81 / $4,094.56
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,323.09 / $3,125.14 / $3,283.67
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,209.73 / $2,209.73 / $2,239.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.00 / $1,120.00 / $5,793.00