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Montana rates for HCPCS 49446

Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $223.87 / $223.87
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $1,348.96 / $1,698.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $758.58 / $2,041.74