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Wisconsin rates for HCPCS 43762

Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract

Facilitymedian $2,188 · 10th–90th $74$4,6770%10%10th90th$2,188Professionalmedian $204 · 10th–90th $36$5750%10%10th90th$204$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $389.05 / $3,548.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $186.21 / $478.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $3,090.30 / $5,754.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $234.42 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $724.44 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$51.29 / $51.29 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $208.93 / $933.25
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $223.87 / $2,818.38
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $147.91 / $602.56
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $229.09 / $1,445.44
Medica
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$134.90 / $134.90 / $134.90
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $436.52 / $1,659.59
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $64.57
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $933.25 / $2,344.23
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $323.59 / $812.83
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $295.12 / $891.25
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $501.19 / $741.31
Quartz
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$51.29 / $398.11 / $588.84
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $354.81 / $1,548.82
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $131.83 / $870.96
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $691.83 / $1,174.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $1,584.89 / $2,187.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $194.98 / $660.69