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California 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
$4,466.84 / $10,471.29 / $22,387.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $10,715.19 / $17,782.79
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $6,760.83 / $22,908.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $4,466.84 / $13,489.63
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $645.65 / $870.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $645.65 / $1,584.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$85.11 / $107.15 / $501.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$85.11 / $85.11 / $107.15
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,218.10 / $16,218.10 / $50,118.72
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,621.81 / $1,621.81 / $1,621.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $741.31 / $1,230.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $13,489.63 / $28,840.32