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Delaware 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
$6,907.00 / $6,907.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,520.78 / $1,527.99 / $1,775.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,151.00 / $2,151.00 / $2,151.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,281.02 / $1,652.47 / $2,617.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.00 / $960.00 / $960.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,264.35 / $1,568.73 / $3,497.23