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North Carolina rates for HCPCS 43501

Gastrotomy; with suture repair of bleeding ulcer

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,329.01 / $1,615.00 / $6,953.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $518.28 / $35,600.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.32 / $1,594.81 / $2,447.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.00 / $661.00 / $4,877.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $10,036.40 / $12,135.68