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Washington, DC rates for HCPCS 43762

Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.18 / $1,117.00 / $3,175.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$20.86 / $20.86 / $141.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.36 / $222.55 / $283.41
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.53 / $39.77 / $573.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.94 / $209.14 / $552.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.45 / $249.93 / $538.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.25 / $223.85 / $1,509.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.22 / $291.11 / $654.20