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Indiana rates for HCPCS 43763

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

Facilitymedian $4,266 · 10th–90th $468–$8,3180%10%10th90th$4,266Professionalmedian $263 · 10th–90th $79–$4790%10%10th90th$263$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $1,380.38 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $295.12 / $489.78
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $83.18 / $83.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $4,466.84 / $8,709.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $204.17 / $426.58
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $87.10 / $97.72
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $173.78 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $218.78 / $549.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $2,137.96 / $7,413.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $257.04 / $478.63