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Maryland rates for HCPCS 43502

Gastrotomy W/Sutr Rpr Pre-Esopg/Gastric Lac

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,408.61 / $1,739.23 / $2,243.79
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,522.45 / $1,691.61 / $2,622.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.00 / $629.00 / $2,530.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,304.17 / $1,822.00 / $3,385.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,499.33 / $1,845.37 / $2,570.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.00 / $362.00 / $1,109.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,264.35 / $1,696.23 / $2,949.50
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.00 / $1,845.37 / $2,249.00