go back

Nebraska 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
$7,244.36 / $8,511.38 / $15,488.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,848.93 / $20,892.96 / $40,738.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $851.14 / $8,128.31
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,548.82 / $1,548.82 / $1,548.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,288.25 / $1,819.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $8,128.31 / $10,000.00