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Massachusetts 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
$1,096.48 / $2,754.23 / $5,623.41
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$794.33 / $794.33 / $794.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $707.95 / $1,995.26
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $1,479.11 / $4,897.79
AllWays Health Partners
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$3,890.45 / $3,890.45 / $3,890.45
AllWays Health Partners
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$977.24 / $977.24 / $977.24
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $851.14 / $2,884.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $537.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $1,000.00 / $2,238.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $741.31 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $524.81 / $2,089.30
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $380.19 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,288.25 / $2,238.72
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $3,162.28 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $812.83 / $2,041.74
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,949.84 / $4,073.80
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $1,479.11 / $4,897.79
Mass General Brigham
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$3,890.45 / $3,890.45 / $3,890.45
Mass General Brigham
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$977.24 / $977.24 / $977.24
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $870.96 / $2,951.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $3,467.37 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $741.31 / $2,089.30