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Massachusetts 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
$2,570.40 / $4,570.88 / $8,128.31
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $6,025.60 / $50,118.72
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,621.81 / $1,621.81 / $1,621.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,949.84 / $6,309.57
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $1,230.27 / $7,079.46
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $5,888.44 / $15,488.17
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $6,456.54 / $6,456.54
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $6,025.60 / $50,118.72
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,621.81 / $1,621.81 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $6,025.60 / $15,488.17