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Illinois 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
$1,096.48 / $4,786.30 / $13,182.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $8,317.64 / $11,481.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,548.82 / $5,623.41
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,096.48 / $3,467.37
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $6,165.95 / $15,488.17