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Keyhole Placement Of A Stomach Feeding Tube

Wisconsin rates for HCPCS 43653

Places a feeding tube directly into the stomach through the abdominal wall, using keyhole surgery. A camera and instruments go in through small incisions, the stomach is brought up against the abdominal wall and stitched there, and the tube is passed into it so liquid feed and medicines can be given. It is chosen when a tube cannot be placed by simpler routes.

Rates data updated July 2026.

Facilitymedian $11,482 · 10th–90th $708$18,6210%10%10th90th$11,482Professionalmedian $1,318 · 10th–90th $741$2,0420%10%20%10th90th$1,318$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$4,677.35
Typical High
$9,120.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$12,882.50
Typical High
$22,387.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,698.24
Typical High
$2,754.23
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$794.33
Typical High
$8,912.51
Medica
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$870.96
Typical High
$14,791.08
Medica
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$10,715.19
Typical High
$17,378.01
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$691.83
Typical High
$1,230.27
Quartz
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,318.26
Typical High
$2,041.74
Quartz
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$16,982.44
Typical High
$16,982.44
Quartz
Setting
Facility
Modifier
22 · Increased work
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Quartz
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$97.72
Median
$1,174.90
Typical High
$1,698.24
Security Health
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$12,589.25
Typical High
$16,595.87