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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
$0.72 / $645.65 / $2,511.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $117.49 / $436.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $109.65 / $416.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $691.83
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
$46.77 / $234.42 / $524.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $223.87 / $707.95
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $645.65 / $2,511.89
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $128.82 / $512.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $177.83 / $489.78