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Idaho 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
$68.91 / $472.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.07 / $202.42 / $553.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.59 / $176.43 / $401.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.27 / $189.54 / $707.90
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.78 / $99.73 / $425.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $299.20 / $376.41
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.81 / $584.88 / $748.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.62 / $83.92 / $450.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $8,244.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.47 / $303.14 / $477.30