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Pennsylvania rates for HCPCS 49440

Insert Gastrostomy Tube Percutaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.75 / $2,747.00 / $9,534.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.00 / $596.27 / $1,114.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.38 / $308.38 / $308.38
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.69 / $3,159.00 / $14,886.03
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.45 / $798.49 / $798.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.38 / $1,113.00 / $2,434.58
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$274.70 / $274.70 / $274.70
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$68.68 / $68.68 / $68.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.56 / $449.93 / $1,560.43
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.16 / $440.16 / $440.16
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$939.99 / $1,245.95 / $1,591.95
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,634.37 / $4,878.09 / $8,761.14
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.62 / $230.62 / $230.62
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.00 / $2,679.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.08 / $617.64 / $1,609.11
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.09 / $1,300.09 / $1,300.09
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $1,536.90 / $2,350.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.38 / $795.00 / $2,316.65
Priority Health
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$274.70 / $274.70 / $274.70
Priority Health
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$68.68 / $68.68 / $68.68
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.56 / $462.02 / $1,527.58
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.67 / $641.99 / $2,932.57
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.67 / $792.94 / $875.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $1,728.00 / $4,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.20 / $1,104.76 / $1,820.28