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Idaho rates for HCPCS 43502

Gastrotomy W/Sutr Rpr Pre-Esopg/Gastric Lac

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,490.56 / $2,060.31 / $4,374.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,503.99 / $2,323.85 / $2,851.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,509.77 / $2,637.20 / $4,637.35
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,455.10 / $2,603.90 / $2,975.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $2,066.06 / $2,599.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,592.98 / $3,033.38 / $3,084.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,599.83 / $2,133.13 / $3,293.74