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Tennessee 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
$75.11 / $1,285.44 / $6,214.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$17.07 / $51.55 / $251.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.85 / $203.32 / $396.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.59 / $126.29 / $368.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $1,438.00 / $2,217.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.90 / $171.67 / $416.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.13 / $455.00 / $1,487.00
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$51.42 / $51.42 / $51.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.75 / $205.41 / $408.29
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $209.80 / $214.45
Lucent Health
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$135.65 / $141.06 / $141.06
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.40 / $1,565.68 / $1,857.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.00 / $740.00 / $2,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.99 / $270.29 / $464.26