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Wisconsin 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
$181.97 / $1,047.13 / $2,570.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $4,570.88 / $7,079.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,511.89 / $3,981.07
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $776.25 / $3,090.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $794.33 / $3,801.89
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $831.76 / $2,511.89
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $3,311.31 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,801.89 / $6,606.93