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New York 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
$50.45 / $2,159.00 / $7,185.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$19.54 / $105.98 / $177.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.64 / $160.19 / $402.06
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.32 / $32.32 / $115.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,651.00 / $3,263.00 / $48,679.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.02 / $249.06 / $516.27
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.36 / $1,254.00 / $4,050.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.36 / $53.36 / $339.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.27 / $64.27 / $3,479.91
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
$43.21 / $208.00 / $660.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.47 / $65.48 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.67 / $297.26 / $441.48
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.86 / $201.86 / $482.13
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.74 / $267.26 / $414.79
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.52 / $473.17 / $2,526.50
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.22 / $47.74 / $47.74
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.27 / $348.16 / $3,479.91
MVP Health Care
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$51.42 / $51.42 / $51.42
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.84 / $277.56 / $599.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$835.00 / $2,411.00 / $4,583.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.84 / $267.08 / $645.61
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.16 / $44.16 / $201.86
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.68 / $267.26 / $424.39