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Montana 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
$3,019.95 / $3,019.95 / $3,467.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $512.86 / $1,584.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $1,288.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $831.76 / $2,041.74
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $1,380.38 / $1,819.70
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $1,380.38 / $1,819.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $794.33 / $2,187.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $512.86 / $2,089.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $851.14 / $1,819.70