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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
$1,698.24 / $3,715.35 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $741.31 / $2,137.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $204.17 / $302.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $1,445.44 / $2,691.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $707.95 / $1,445.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $977.24 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $512.86 / $1,548.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $758.58 / $1,949.84
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$724.44 / $724.44 / $3,715.35
Medica
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$181.97 / $181.97 / $933.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,348.96 / $6,025.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,862.09 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $707.95 / $1,445.44