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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

Facilitymedian $380 · 10th–90th $95–$2,1380%10%10th90th$380Professionalmedian $275 · 10th–90th $81–$5130%10%10th90th$275$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $575.44 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $288.40 / $489.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $245.47 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $154.88 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $245.47 / $537.03
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $295.12 / $602.56
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $269.15 / $602.56
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $1,096.48 / $1,380.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $281.84 / $616.60