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Rhode Island 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
$3,981.07 / $9,772.37 / $9,772.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $5,370.32 / $5,370.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $6,309.57 / $12,882.50