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Alaska rates for HCPCS 43763

Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$892.77 / $6,541.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.12 / $366.39 / $1,632.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.97 / $311.98 / $1,010.68
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.64 / $461.11 / $2,285.01
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.81 / $698.17 / $2,029.45
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.57 / $710.10 / $1,901.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.64 / $461.11 / $2,285.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.75 / $482.00 / $1,854.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.18 / $872.93 / $2,230.23