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Virginia rates for HCPCS 43501

Gastrotomy; with suture repair of bleeding ulcer

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,522.31 / $4,771.00 / $9,539.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,385.00 / $10,311.04 / $14,433.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $610.00 / $1,540.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,242.74 / $1,535.15 / $2,201.19
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,344.12 / $1,723.61 / $2,572.69
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,278.39 / $1,637.33 / $2,977.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.00 / $2,397.00 / $5,202.00