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Utah rates for HCPCS 43502

Gastrotomy W/Sutr Rpr Pre-Esopg/Gastric Lac

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,008.82 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,402.54 / $2,008.82 / $4,374.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,267.59 / $2,099.46 / $2,902.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.97 / $989.66 / $1,474.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,991.68 / $2,521.75 / $3,208.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.00 / $2,446.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,339.15 / $1,826.80 / $3,302.45