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Nebraska 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
$1,506.15 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.40 / $296.77 / $366.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,533.80 / $2,223.57 / $3,902.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.12 / $188.91 / $624.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.81 / $439.43 / $944.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.40 / $312.61 / $593.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.76 / $764.62 / $2,453.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.41 / $585.42 / $943.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.41 / $615.28 / $943.65
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $966.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.40 / $630.34 / $807.47