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Kentucky 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
$60.26 / $831.76 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $173.78 / $436.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $38.02 / $213.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $10,715.19 / $11,220.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $123.03 / $173.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $39.81 / $56.23
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $41.69 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $64.57 / $64.57
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 / $245.47 / $1,023.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $33.11 / $173.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $398.11 / $3,162.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $162.18 / $346.74