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South Dakota 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
$33.11 / $812.83 / $2,290.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $194.98 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $194.98 / $660.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $199.53 / $489.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $354.81 / $1,659.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $91.20 / $549.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $457.09
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $234.42 / $426.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $125.89 / $501.19
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $87.10 / $512.86