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Maryland 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
$73.01 / $692.86 / $6,004.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.63 / $339.21 / $1,385.72
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.06 / $68.72 / $108.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.00 / $530.82 / $891.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.19 / $197.49 / $1,176.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.50 / $708.04 / $1,191.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.00 / $453.00 / $1,330.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.10 / $806.74 / $1,328.75
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.10 / $678.53 / $835.47