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Utah 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
$1,412.54 / $3,715.35 / $4,786.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $724.44 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $467.74 / $1,548.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $588.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $3,162.28 / $7,413.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $489.78 / $1,862.09
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $831.76 / $1,949.84
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $1,023.29 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $707.95 / $1,445.44