go back

Nebraska 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
$549.54 / $3,801.89 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $208.93 / $549.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $56.23 / $257.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $1,995.26 / $3,890.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $177.83 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $269.15 / $630.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $213.80 / $426.58
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$134.90 / $134.90 / $134.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $467.74 / $1,659.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $416.87 / $630.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $371.54 / $512.86
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $288.40 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $1,230.27 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $234.42 / $537.03