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Hawaii 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
$2,747.00 / $6,966.00 / $8,499.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,267.63 / $3,267.63 / $3,267.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.01 / $687.29 / $801.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $3,028.00 / $3,028.00