go back

Minnesota rates for HCPCS 43501

Gastrotomy W/Suture Repair Bleeding Ulcer

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,206.19 / $1,206.19 / $1,206.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,173.08 / $2,992.74 / $10,091.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,824.72 / $4,408.66 / $10,605.63
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,447.87 / $4,023.19 / $8,350.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,278.97 / $2,097.00 / $3,767.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.00 / $3,500.00 / $8,152.00