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Rhode Island rates for HCPCS 43763

Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract

Facilitymedian $1,479 · 10th–90th $245$3,9810%10%20%10th90th$1,479Professionalmedian $275 · 10th–90th $81$5250%10%10th90th$275$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
$1,513.56 / $1,548.82 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $275.42 / $489.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $245.47 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $245.47 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $281.84 / $724.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $1,174.90 / $3,801.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $251.19 / $562.34