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Idaho rates for HCPCS 49450

Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.53 / $1,921.23 / $4,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.07 / $555.16 / $1,784.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.62 / $308.00 / $1,126.77
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.73 / $499.86 / $1,820.34
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.54 / $614.42 / $1,097.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $774.78 / $974.73
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,263.85 / $1,837.93 / $2,746.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.29 / $150.13 / $1,227.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,450.00 / $6,124.00 / $7,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.36 / $938.00 / $1,424.44