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New Hampshire 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
$1,905.46 / $4,466.84 / $20,892.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $10,000.00 / $18,197.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $5,495.41 / $5,495.41
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $4,677.35 / $12,302.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $4,677.35 / $12,302.69
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $616.60 / $724.44