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Delaware rates for HCPCS 43763

Perq Replacement Gtube Req Revj Gstrst Trc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,140.00 / $3,140.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.59 / $314.69 / $418.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.40 / $143.40 / $1,404.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.37 / $166.25 / $484.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.00 / $143.00 / $143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.57 / $391.00 / $766.70