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Illinois 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
$125.89 / $1,318.26 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $338.84 / $1,258.93
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $63.10 / $67.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,174.90 / $1,548.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $524.81 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $870.96 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $229.09 / $1,148.15
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $831.76 / $1,380.38
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $83.18 / $741.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $2,187.76 / $4,570.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $501.19 / $1,174.90