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Tennessee 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
$1,659.59 / $3,467.37 / $6,456.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $5,754.40 / $9,772.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $3,090.30 / $6,456.54
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,218.10 / $16,218.10 / $50,118.72
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,621.81 / $1,621.81 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $7,413.10 / $12,022.64