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Washington rates for HCPCS G2170

Percutaneous arteriovenous fistula creation (avf), direct, any site, by tissue approximation using thermal resistance energy, and secondary procedures to redirect blood flow (e.g., transluminal balloon angioplasty, coil embolization) when performed

Insurance Carrier
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,955.82 / $55,193.40 / $55,193.40
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,338.66 / $13,338.66 / $13,338.66
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,402.31 / $16,402.31 / $16,402.31
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,609.36 / $79,999.20 / $79,999.20