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Louisiana 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
$194.98 / $1,148.15 / $3,467.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $125.89 / $398.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $64.57 / $407.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $524.81 / $1,071.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $72.44 / $346.74
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $223.87 / $223.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $489.78 / $812.83
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
$41.69 / $194.98 / $398.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $446.68 / $1,202.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $177.83 / $363.08