| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,089.30 | $4,786.30 | $14,125.38 | |
Moda Health
| Facility | $169.82 | $812.83 | $2,290.87 | |
Providence
| Facility | $194.98 | $1,000.00 | $2,187.76 |
Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,089.30 | $4,786.30 | $14,125.38 | |
Moda Health
| Facility | $169.82 | $812.83 | $2,290.87 | |
Providence
| Facility | $194.98 | $1,000.00 | $2,187.76 |