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Oklahoma 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
$1,300.00 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,402.54 / $1,649.65 / $1,980.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,365.79 / $1,966.29 / $2,482.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,268.24 / $1,884.32 / $5,465.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,365.40 / $1,847.30 / $11,001.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,760.00 / $6,155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,285.08 / $1,686.67 / $2,556.02