go back

Iowa rates for HCPCS 43763

Perq Replacement Gtube Req Revj Gstrst Trc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,234.00 / $3,795.64 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $294.77 / $563.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.54 / $358.60 / $919.52
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.89 / $428.04 / $1,320.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.78 / $399.78 / $953.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.92 / $707.30 / $1,710.55
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.85 / $255.59 / $889.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.41 / $610.42 / $972.64
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $966.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,026.00 / $1,607.00 / $1,966.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.56 / $505.47 / $1,028.41
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.80 / $206.50 / $732.30