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Tennessee 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
$228.15 / $1,821.00 / $6,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.13 / $294.77 / $484.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.50 / $1,472.00 / $2,244.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.30 / $229.80 / $619.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.13 / $455.00 / $1,487.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.47 / $267.91 / $596.24
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $494.75 / $505.70
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,184.10 / $2,311.12 / $2,742.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.00 / $740.00 / $2,127.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.97 / $399.38 / $693.52