go back

Minnesota rates for HCPCS 43502

Gastrotomy W/Sutr Rpr Pre-Esopg/Gastric Lac

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,363.07 / $1,363.07 / $1,363.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,355.90 / $1,490.56 / $2,485.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,199.63 / $2,992.74 / $11,373.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,610.59 / $4,426.97 / $5,369.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,174.46 / $4,954.52 / $11,918.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,522.91 / $4,509.05 / $6,199.41
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,750.95 / $4,521.32 / $9,384.85
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,499.34 / $4,113.78 / $5,668.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,368.30 / $2,303.59 / $4,247.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,718.79 / $3,454.59 / $11,001.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.00 / $3,500.00 / $8,152.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,657.27 / $3,150.05 / $5,897.09