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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
$1,513.56 / $2,344.23 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,698.24 / $3,890.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,995.26 / $3,801.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $575.44 / $35,481.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,041.74 / $3,715.35
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,344.23 / $2,344.23
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,819.70 / $2,884.03
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,348.96
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $2,818.38 / $3,548.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $1,819.70 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,621.81 / $3,019.95
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $13,803.84 / $13,803.84
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,715.19 / $10,715.19 / $13,182.57