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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
$758.58 / $3,801.89 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $295.12 / $562.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $1,995.26 / $3,890.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $194.98 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $354.81 / $933.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $316.23 / $616.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $691.83 / $2,454.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $616.60 / $933.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $549.54 / $758.58
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $977.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $1,230.27 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $346.74 / $794.33