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Louisiana 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
$660.69 / $1,659.59 / $4,168.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $575.44 / $1,380.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $213.80 / $1,479.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $2,454.71 / $3,630.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $416.87 / $1,258.93
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $3.63 / $177.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $537.03 / $1,258.93
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$275.42 / $275.42 / $275.42
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$69.18 / $69.18 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $588.84 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $1,412.54 / $4,168.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $724.44 / $1,584.89