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Wyoming 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
Professional
Modifier
Low / Median / High Price
$79.20 / $133.22 / $430.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.00 / $350.00 / $1,343.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.06 / $303.77 / $745.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.00 / $293.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.96 / $559.11 / $1,218.09