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Minnesota rates for HCPCS 43763

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

Facilitymedian $708 · 10th–90th $112–$2,2910%5%10%10th90th$708Professionalmedian $331 · 10th–90th $93–$1,0960%5%10%10th90th$331$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
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $331.13 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $275.42 / $467.74
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $575.44 / $1,737.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $426.58 / $1,174.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $1,258.93 / $3,019.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $398.11 / $1,380.38
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $1,122.02 / $2,290.87
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $501.19 / $1,230.27
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $309.03 / $912.01
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $676.08 / $2,454.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $1,584.89 / $3,715.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $331.13 / $1,000.00