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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
$43.65 / $346.74 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $177.83 / $389.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $38.02 / $218.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $4,466.84 / $8,709.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $138.04 / $281.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $36.31 / $41.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $32.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $173.78 / $758.58
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$51.29 / $51.29 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $208.93 / $380.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $2,137.96 / $5,495.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $169.82 / $323.59