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Michigan rates for HCPCS 43501

Gastrotomy W/Suture Repair Bleeding Ulcer

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,742.21 / $4,933.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,188.46 / $7,348.04 / $10,092.36
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.57 / $4,933.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.00 / $4,645.00 / $6,036.00