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Colorado 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
$1,098.00 / $3,133.00 / $8,652.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.50 / $245.35 / $415.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,974.00 / $2,866.00 / $7,022.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.45 / $310.11 / $640.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.19 / $600.00 / $1,652.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.60 / $211.21 / $605.88
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.05 / $264.69 / $524.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.12 / $322.27 / $571.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.00 / $1,464.00 / $2,720.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.78 / $453.98 / $708.19