go back

Texas rates for HCPCS 43502

Gastrotomy W/Sutr Rpr Pre-Esopg/Gastric Lac

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.00 / $3,570.00 / $10,893.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,402.54 / $1,564.50 / $2,319.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,368.62 / $1,775.02 / $2,473.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,389.62 / $1,389.62 / $1,444.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,024.00 / $4,619.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,432.16 / $1,981.39 / $3,123.87
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $13,734.24
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,754.00 / $11,001.04 / $13,160.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,447.23 / $1,763.06 / $3,106.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,711.13 / $2,276.55 / $2,678.29
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,599.20 / $3,833.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,447.23 / $1,796.43 / $3,467.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,467.00 / $2,117.59 / $3,798.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $1,970.00 / $8,583.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,219.05 / $1,675.93 / $2,626.54
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,269.91 / $1,475.46 / $1,990.14