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Indiana 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
$64.88 / $824.00 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.07 / $160.93 / $745.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.14 / $67.14 / $67.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $3,399.00 / $6,008.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.86 / $418.25 / $1,511.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.03 / $76.73 / $715.85
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.98 / $608.38 / $760.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.56 / $674.63 / $761.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.14 / $216.00 / $1,112.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $3,817.00 / $5,402.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.09 / $755.09 / $1,311.36