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Texas 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
$1,202.26 / $4,677.35 / $14,454.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $7,762.47 / $14,791.08
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $6,025.60 / $12,022.64
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $3,801.89 / $4,786.30
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 / $50,118.72 / $50,118.72
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,621.81 / $1,621.81 / $1,621.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $776.25 / $3,715.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $724.44 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $8,128.31 / $16,982.44