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Minnesota 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
$1,348.96 / $1,348.96 / $1,348.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,621.81 / $2,951.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $3,388.44 / $12,302.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $3,715.35 / $5,495.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $5,248.07 / $12,589.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $3,981.07 / $6,165.95
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $5,011.87 / $9,772.37
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $3,548.13 / $5,623.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $2,041.74 / $4,168.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,754.23 / $10,964.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $3,311.31 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,630.27 / $5,128.61