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Alaska rates for HCPCS 43502

Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,399.01 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,502.99 / $1,660.28 / $8,042.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,474.33 / $2,291.35 / $5,118.29
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,523.58 / $8,042.22 / $11,259.11
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,719.85 / $5,559.60 / $10,266.08
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,020.38 / $7,121.60 / $11,350.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,523.58 / $8,042.22 / $11,259.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,804.88 / $5,467.20 / $9,812.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,514.32 / $4,094.62 / $11,294.35