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New Mexico 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
$383.51 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.72 / $304.01 / $489.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.70 / $241.65 / $485.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.19 / $148.19 / $154.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.97 / $194.30 / $568.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $475.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.25 / $214.97 / $489.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.85 / $312.00 / $725.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $1,158.00 / $1,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.52 / $472.35 / $684.43