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Pennsylvania 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
$75.86 / $1,258.93 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $158.49 / $549.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $43.65 / $239.88
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,258.93 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $218.78 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $346.74 / $575.44
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$51.29 / $51.29 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $213.80 / $389.05
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $398.11 / $562.34
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $263.03 / $436.52
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $645.65 / $1,202.26
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $38.02 / $257.04
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $1,230.27 / $6,165.95
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $204.17 / $575.44
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $275.42 / $501.19
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $416.87 / $575.44
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $74.13 / $234.42
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $74.13 / $234.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $562.34 / $3,019.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $154.88 / $331.13