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California 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
$1,862.09 / $6,165.95 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $812.83 / $2,344.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $363.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $6,165.95 / $13,489.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $446.68 / $2,089.30
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $1,995.26 / $8,128.31
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $870.96 / $2,344.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $1,023.29 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $549.54 / $1,778.28
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $912.01 / $1,318.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $758.58 / $1,479.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $4,897.79
Lucent Health
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$3,890.45 / $3,890.45 / $3,890.45
Lucent Health
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$977.24 / $977.24 / $977.24
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,165.95 / $6,760.83 / $6,760.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $1,122.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $776.25 / $1,698.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $524.81 / $1,949.84
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $3,162.28
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $912.01 / $1,548.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $4,168.69 / $9,549.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $660.69 / $1,548.82