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New York 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
$1,819.70 / $3,548.13 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,698.24 / $3,388.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $5,888.44 / $12,302.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,479.11 / $2,951.21
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $37,153.52
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $2,137.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $2,630.27 / $7,762.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $2,137.96 / $5,495.41
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $1,905.46 / $5,623.41
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,137.96 / $3,388.44
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,412.54
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $2,041.74 / $3,162.28
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $2,041.74 / $3,548.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $4,073.80 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,659.59 / $3,890.45
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,819.70 / $5,495.41
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,819.70 / $3,801.89