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Indiana 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
$676.08 / $3,467.37 / $10,964.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $24,547.09 / $31,622.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $575.44 / $645.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $794.33 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$97.72 / $97.72 / $97.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $10,964.78 / $17,378.01