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Indiana 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
$39.79 / $359.52 / $4,846.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$17.93 / $43.87 / $117.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.07 / $182.81 / $278.72
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.48 / $244.64 / $303.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $4,119.97 / $8,230.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.06 / $121.87 / $252.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.83 / $43.12 / $275.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.71 / $234.85 / $293.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.27 / $175.16 / $761.00
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$51.42 / $51.42 / $51.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.57 / $214.43 / $352.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $2,252.00 / $4,426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.04 / $254.58 / $412.84