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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
$239.88 / $1,995.26 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $181.97 / $426.58
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $50.12 / $66.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $812.83 / $1,071.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $223.87 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $223.87 / $346.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $218.78 / $912.01
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
$199.53 / $269.15 / $1,659.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $616.60 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $141.25 / $316.23