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New York 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
$755.88 / $5,699.00 / $20,782.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,527.00 / $7,506.00 / $14,811.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$816.35 / $4,275.50 / $16,534.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.10 / $30,367.00 / $36,587.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$65.17 / $65.17 / $65.17
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $832.00 / $1,705.60
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$539.29 / $539.29 / $1,522.50
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,209.32 / $12,209.32 / $12,209.32
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.10 / $13,296.25 / $36,587.00
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$65.17 / $65.17 / $65.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $6,344.00 / $16,403.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.91 / $688.91 / $1,999.00