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Minnesota 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
$186.21 / $831.76 / $2,884.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $724.44 / $1,698.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $4,073.80 / $8,709.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $977.24 / $2,691.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $3,090.30 / $7,413.10
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
$389.05 / $1,000.00 / $3,388.44
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,951.21 / $5,888.44
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $1,202.26 / $2,884.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $831.76 / $2,398.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,862.09 / $6,025.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $3,467.37 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $851.14 / $2,570.40