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Wisconsin rates for HCPCS 43653

Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure)

Facilitymedian $11,482 · 10th–90th $708$18,6210%10%20%10th90th$11,482Professionalmedian $1,318 · 10th–90th $741$2,0420%20%10th90th$1,318$1.0$5.0$20.0$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.87 / $1,148.15 / $5,370.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,120.11 / $12,882.50 / $20,892.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,698.24 / $2,691.53
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$1,174.90 / $1,174.90 / $1,174.90
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$97.72 / $97.72 / $97.72
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $794.33 / $8,912.51
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $870.96 / $14,791.08
Medica
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$1,548.82 / $1,548.82 / $1,548.82
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,122.02 / $10,715.19 / $17,378.01
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,318.26 / $2,041.74
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $16,218.10 / $16,218.10
Quartz
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$1,174.90 / $1,174.90 / $1,174.90
Quartz
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$97.72 / $1,096.48 / $1,621.81
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,041.74 / $2,041.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,918.31 / $13,803.84 / $17,378.01