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North Carolina 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
$1,502.99 / $1,615.00 / $6,953.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,432.17 / $1,522.74 / $2,285.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,231.33 / $2,508.77 / $3,800.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $518.28 / $35,600.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,526.91 / $2,179.31 / $3,892.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,425.22 / $1,803.59 / $2,771.34
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,359.23 / $1,911.00 / $3,973.10
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,227.00 / $1,459.10 / $3,227.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.00 / $661.00 / $4,877.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.92 / $1,768.41 / $4,072.07
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $11,382.88 / $13,734.24
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,754.00 / $10,754.00 / $13,160.03