go back

Wisconsin 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
$0.87 / $1,659.59 / $2,570.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $724.44 / $1,949.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $4,570.88 / $7,079.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $1,000.00 / $3,388.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,570.40 / $4,168.69
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$275.42 / $275.42 / $275.42
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$69.18 / $69.18 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $831.76 / $3,090.30
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $812.83 / $3,090.30
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $831.76 / $2,238.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $831.76 / $3,801.89
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$724.44 / $724.44 / $724.44
Medica
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$181.97 / $181.97 / $181.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,995.26 / $6,025.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $302.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $933.25 / $2,630.27
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $3,311.31 / $4,897.79
Quartz
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$2,630.27 / $2,630.27 / $3,890.45
Quartz
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$660.69 / $660.69 / $977.24
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $1,479.11 / $6,165.95
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $2,884.03 / $4,265.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,801.89 / $6,606.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $870.96 / $2,398.83