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Rhode Island rates for HCPCS 43502

Gastrotomy W/Sutr Rpr Pre-Esopg/Gastric Lac

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,355.90 / $1,456.52 / $2,243.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,457.35 / $2,017.09 / $2,849.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.00 / $680.00 / $680.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,304.17 / $2,406.07 / $3,554.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,551.00 / $3,539.00 / $7,205.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,365.09 / $1,978.34 / $3,374.30