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Michigan rates for HCPCS 43763

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

Facilitymedian $2,042 · 10th–90th $200–$4,8980%20%10th90th$2,042Professionalmedian $240 · 10th–90th $81–$4680%10%10th90th$240$20.0$100.0$500.0$2.0K

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
$416.87 / $2,041.74 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $263.03 / $457.09
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $83.18 / $83.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $81.28 / $81.28
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $131.83 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $275.42 / $562.34
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $954.99 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $331.13 / $524.81
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $251.19 / $436.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $707.95 / $1,698.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $288.40 / $512.86