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Texas rates for HCPCS 43501

Gastrotomy W/Suture Repair Bleeding Ulcer

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.00 / $3,570.00 / $10,893.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,238.92 / $1,238.92 / $1,286.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,024.00 / $4,619.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $12,135.68
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,281.44 / $1,584.40 / $2,750.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,281.44 / $1,598.00 / $3,053.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $1,970.00 / $8,583.00