go back

Rhode Island 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
$794.33 / $794.33 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $194.98 / $467.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $165.96 / $363.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $186.21 / $489.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $1,174.90 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $169.82 / $380.19