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Washington rates for HCPCS 43880

Closure Gastrocolic Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,140.94 / $4,092.29 / $20,680.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,201.37 / $14,791.76
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
$1,502.57 / $3,106.05 / $3,973.65
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,272.62 / $3,065.85 / $3,227.39
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,160.36 / $2,160.36 / $2,201.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.00 / $1,120.00 / $5,793.00