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Maine 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
$426.58 / $426.58 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $707.95 / $1,862.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $588.84 / $1,737.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $346.74 / $691.83
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
$229.09 / $467.74 / $1,905.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $831.76 / $2,089.30
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $4,570.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $758.58 / $2,454.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $758.58 / $1,737.80