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Hawaii rates for HCPCS 43501

Gastrotomy; with suture repair of bleeding ulcer

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,747.00 / $2,747.00 / $2,747.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,372.14 / $1,553.36 / $1,812.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,446.00 / $2,446.00 / $2,446.00