go back

Delaware 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
$36.57 / $219.46 / $757.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.06 / $211.86 / $261.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.40 / $143.40 / $1,404.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.94 / $179.37 / $328.24
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$690.37 / $690.37 / $690.37
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.36 / $37.36 / $37.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.00 / $143.00 / $500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.53 / $249.13 / $513.22