go back

North Dakota 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 / $1,479.11 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,659.59 / $3,090.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $3,311.31 / $3,981.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,754.23 / $4,168.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $2,041.74 / $3,235.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,398.83 / $10,964.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,819.70 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,041.74 / $3,235.94