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Montana rates for HCPCS 49440

Insert Gastrostomy Tube Percutaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,015.04 / $3,015.04 / $3,495.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.59 / $597.14 / $1,114.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $77,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.80 / $311.80 / $1,287.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.80 / $311.80 / $311.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.10 / $782.62 / $1,790.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.10 / $772.78 / $2,025.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.62 / $833.01 / $2,266.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.84 / $1,599.00 / $2,036.30