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California rates for HCPCS 43501

Gastrotomy W/Suture Repair Bleeding Ulcer

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,335.07 / $9,690.00 / $22,788.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,873.70 / $8,947.00 / $19,298.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.90 / $100.00 / $5,487.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$633.00 / $766.00 / $5,431.00
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.02 / $1,118.34 / $1,880.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.75 / $1,602.45 / $2,948.51
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $12,135.68 / $12,474.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,281.44 / $1,639.67 / $2,257.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,055.00 / $4,820.00 / $20,279.00