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Iowa rates for HCPCS 43502

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

Facilitymedian $3,311 · 10th–90th $1,514–$7,2440%10%10th90th$3,311Professionalmedian $1,820 · 10th–90th $1,380–$3,9810%20%10th90th$1,820$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $5,370.32 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,737.80 / $3,235.94
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $3,311.31 / $4,168.69
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $2,754.23 / $5,623.41
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,511.89 / $4,677.35
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $2,818.38 / $10,964.78
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,388.44 / $4,073.80
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $2,951.21 / $4,073.80
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $2,951.21 / $3,801.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $4,897.79 / $7,585.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $2,137.96 / $4,073.80
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,951.21 / $3,467.37