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New Mexico 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
$699.20 / $699.20 / $7,838.38
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$19.61 / $19.61 / $127.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.07 / $201.01 / $278.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.05 / $1,234.74 / $2,013.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.79 / $200.10 / $305.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.27 / $64.27 / $154.84
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
$44.19 / $210.41 / $381.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $320.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.75 / $99.58 / $322.92
Providence
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$51.42 / $51.42 / $51.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.03 / $235.50 / $490.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $1,327.00 / $1,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.20 / $334.44 / $470.85