go back

North Dakota rates for HCPCS 43763

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.41 / $343.26 / $2,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.72 / $304.01 / $404.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.93 / $477.22 / $822.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.42 / $275.39 / $858.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.41 / $291.77 / $556.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.04 / $625.35 / $1,184.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.00 / $125.00 / $125.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.30 / $539.83 / $900.77