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Michigan 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
$4,897.79 / $5,754.40 / $11,481.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $549.54 / $549.54
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $4,897.79 / $9,332.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $8,317.64 / $15,848.93