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Maine 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
$68.86 / $647.52 / $785.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.07 / $205.30 / $287.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.26 / $92.02 / $335.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.27 / $64.27 / $699.00
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
$48.18 / $233.31 / $454.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.17 / $157.19 / $468.22
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.86 / $647.52 / $785.66
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.15 / $86.60 / $371.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.19 / $302.33 / $484.02