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Maryland rates for HCPCS 43763

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

Facilitymedian $129 · 10th–90th $78–$6030%10%10th90th$129Professionalmedian $257 · 10th–90th $81–$4900%10%10th90th$257$50.0$100.0$200.0$500.0$1.0K$2.0K$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
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $275.42 / $489.78
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $91.20 / $141.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $141.25 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $239.88 / $549.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $436.52 / $575.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $112.20 / $602.56
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $251.19 / $562.34
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $436.52 / $562.34