go back

Mississippi rates for HCPCS 43763

Perq Replacement Gtube Req Revj Gstrst Trc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.60 / $950.00 / $1,831.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.29 / $304.01 / $678.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$566.87 / $566.87 / $621.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.00 / $131.00 / $148.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.66 / $125.56 / $588.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.68 / $204.23 / $593.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.00 / $485.00 / $1,888.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.91 / $390.18 / $826.46