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Oklahoma 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
$625.00 / $3,576.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.94 / $277.82 / $368.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.91 / $743.91 / $1,077.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.76 / $185.97 / $481.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.75 / $141.74 / $477.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.00 / $347.00 / $897.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.83 / $431.03 / $2,453.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $610.00 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.35 / $354.57 / $557.67