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Delaware rates for HCPCS 43762

Perq Replacement Gtube Not Req Revj Gstrst Trc

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