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Virginia 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
$168.94 / $2,307.82 / $8,294.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.55 / $610.00 / $972.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.02 / $875.77 / $1,577.58
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.94 / $862.92 / $1,634.30
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.83 / $208.04 / $357.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $2,774.00 / $5,226.00