go back

Virginia rates for HCPCS 43840

Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,537.76 / $3,693.84 / $8,920.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,734.00 / $17,392.64 / $24,346.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $610.00 / $1,549.62
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$152.11 / $152.11 / $152.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,256.58 / $1,552.25 / $2,221.21
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,278.00 / $1,677.55 / $2,512.13
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$240.20 / $330.01 / $540.59
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$168.14 / $231.01 / $378.41
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,138.04 / $1,637.47 / $3,177.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,236.00 / $8,246.00 / $17,187.00