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Idaho 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
$5,495.41 / $12,022.64 / $12,022.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $7,244.36 / $14,791.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $870.96 / $1,698.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $12,882.50 / $18,197.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $26,915.35 / $29,512.09