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Michigan rates for HCPCS 43502

Gastrotomy W/Sutr Rpr Pre-Esopg/Gastric Lac

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,976.05 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,355.90 / $1,775.27 / $1,976.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,527.33 / $8,172.18 / $10,954.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.42 / $1,288.53 / $2,449.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,341.93 / $1,871.43 / $3,617.51
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,592.19 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,534.21 / $1,683.73 / $2,420.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.18 / $1,175.40 / $1,888.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.00 / $4,645.00 / $6,036.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,567.50 / $2,007.42 / $2,570.16