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New York rates for HCPCS 43501

Gastrotomy; with suture repair of bleeding ulcer

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $3,162.28 / $10,964.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $5,888.44 / $12,302.69
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $37,153.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $2,290.87 / $7,762.47
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,659.59 / $5,011.87
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,230.27
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $4,073.80 / $9,120.11
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,584.89 / $4,786.30