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South Dakota 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 / $1,584.89 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $724.44 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $575.44 / $2,398.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $724.44 / $1,995.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,548.82 / $6,025.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $489.78 / $2,187.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $1,905.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $1,174.90 / $1,659.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $660.69 / $2,041.74
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $467.74 / $1,862.09