go back

Arkansas rates for HCPCS 43653

Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.93 / $1,821.00 / $3,324.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,300.93 / $5,300.93 / $6,043.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.00 / $1,473.00 / $4,726.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $3,635.00 / $8,676.00