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North Carolina 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
$851.14 / $10,471.29 / $13,182.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,467.37 / $3,890.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $3,311.31 / $5,495.41
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
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $831.76 / $831.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $707.95 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $7,079.46 / $19,952.62
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,218.10 / $16,218.10 / $50,118.72
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,621.81 / $1,621.81 / $1,621.81