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Oklahoma 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
$592.98 / $2,397.00 / $6,435.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$20.11 / $20.11 / $121.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.07 / $186.49 / $248.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.32 / $32.32 / $69.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.91 / $743.91 / $1,077.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.75 / $221.90 / $304.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.99 / $226.16 / $323.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.22 / $216.32 / $820.76
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$135.65 / $135.65 / $135.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.06 / $290.26 / $1,659.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.56 / $634.00 / $1,582.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.22 / $251.08 / $370.40