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Wyoming rates for HCPCS 43502

Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,513.56 / $2,041.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.07 / $6,165.95 / $7,413.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,511.89 / $4,677.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $3,090.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,570.40 / $5,248.07