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Arizona 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
$1,170.00 / $2,771.00 / $6,305.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.50 / $296.77 / $438.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.80 / $1,541.29 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.83 / $260.10 / $411.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.13 / $146.94 / $240.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.95 / $243.80 / $570.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.23 / $296.77 / $691.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.83 / $412.29 / $2,453.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.00 / $1,424.00 / $2,057.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.08 / $347.04 / $637.97