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Arizona rates for HCPCS 43502

Gastrotomy W/Sutr Rpr Pre-Esopg/Gastric Lac

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,355.90 / $1,526.04 / $2,286.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,660.00 / $6,198.03 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,551.69 / $1,773.36 / $2,061.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,304.17 / $1,719.69 / $3,305.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,402.54 / $1,725.00 / $3,467.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,323.54 / $1,706.67 / $11,001.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.00 / $2,572.00 / $14,572.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.76 / $1,606.35 / $2,991.01