| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,754.23 | $4,073.80 | |
Kaiser Permanente
| Professional | $316.23 | $891.25 | $1,862.09 | |
United
| Facility | $891.25 | $6,606.93 | $26,302.68 |
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 | $1,000.00 | $2,754.23 | $4,073.80 | |
Kaiser Permanente
| Professional | $316.23 | $891.25 | $1,862.09 | |
United
| Facility | $891.25 | $6,606.93 | $26,302.68 |