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Missouri rates for HCPCS 43501

Gastrotomy; with suture repair of bleeding ulcer

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,451.41 / $4,261.00 / $12,154.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,234.00 / $4,319.00 / $10,043.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.00 / $2,530.00 / $2,530.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,199.75 / $1,767.20 / $3,654.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,189.00 / $3,300.00 / $11,186.00