go back

Maryland 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
$827.81 / $4,219.75 / $7,452.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,335.00 / $2,957.55 / $5,067.22
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$65.17 / $65.17 / $65.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.35 / $736.45 / $1,023.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,541.00 / $2,139.00 / $6,125.00