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Virginia rates for HCPCS 43830

Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.75 / $5,048.00 / $14,796.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $610.00 / $925.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$79.00 / $79.00 / $79.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.73 / $810.02 / $1,156.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$703.44 / $902.56 / $1,346.14
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$154.00 / $169.45 / $281.25
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$107.80 / $118.62 / $196.87
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.07 / $849.91 / $1,646.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.00 / $5,815.00 / $12,680.00