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Michigan 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
$269.15 / $2,398.83 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $691.83 / $1,513.56
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $208.93 / $363.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $60.26 / $302.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $302.00 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $676.08 / $1,778.28
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $2,630.27 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $831.76 / $1,479.11
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $616.60 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $3,019.95 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $776.25 / $1,479.11