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Arizona rates for HCPCS 49440

Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,389.00 / $2,897.00 / $6,483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.59 / $732.63 / $1,413.64
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.08 / $191.08 / $191.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.79 / $2,064.02 / $3,616.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.94 / $641.82 / $1,015.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.77 / $971.62 / $1,591.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.60 / $525.00 / $1,632.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.02 / $755.29 / $1,696.37
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$727.83 / $727.83 / $3,716.72
Medica
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$181.96 / $181.96 / $929.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.10 / $1,279.21 / $6,044.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$966.00 / $2,517.00 / $4,486.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.45 / $1,088.00 / $1,836.07