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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
$71.37 / $1,011.00 / $3,500.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$27.06 / $31.24 / $164.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.07 / $191.19 / $328.93
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.95 / $42.00 / $46.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.89 / $506.89 / $1,062.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.22 / $72.80 / $361.84
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.83 / $225.29 / $225.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.27 / $488.00 / $815.00
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
$41.13 / $197.86 / $377.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.00 / $580.00 / $1,506.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.22 / $279.33 / $431.68