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Arizona 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
$2,100.00 / $6,264.00 / $10,407.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,660.00 / $6,198.03 / $10,860.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,339.00 / $3,216.04 / $5,269.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.98 / $680.09 / $6,966.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$144.80 / $1,537.78 / $1,537.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,100.00 / $7,104.00 / $11,396.00