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Wisconsin rates for HCPCS 43763

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

Facilitymedian $2,754 · 10th–90th $195$4,8980%10%10th90th$2,754Professionalmedian $316 · 10th–90th $83$8130%5%10%10th90th$316$50.0$200.0$1.0K$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
$93.33 / $380.19 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $295.12 / $537.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $3,090.30 / $5,754.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $398.11 / $1,318.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $1,047.13 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $354.81 / $1,318.26
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $331.13 / $3,467.37
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $354.81 / $891.25
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $338.84 / $1,445.44
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $660.69 / $2,454.71
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $64.57
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $933.25 / $2,344.23
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $446.68 / $1,230.27
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $416.87 / $1,230.27
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $501.19 / $1,000.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $478.63 / $2,290.87
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $302.00 / $1,318.26
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $1,023.29 / $1,778.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $1,584.89 / $2,187.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $338.84 / $1,047.13