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South Dakota 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
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $794.33 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $691.83 / $1,995.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $354.81 / $2,089.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $1,122.02 / $1,584.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26