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Montana rates for HCPCS 49450

Replace Gastrostomy/Cecostomy Tube Percutaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,116.48 / $1,116.48 / $1,764.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.67 / $339.21 / $968.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $77,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.43 / $100.43 / $921.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.43 / $100.43 / $100.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.59 / $317.17 / $1,293.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.64 / $552.22 / $1,337.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.39 / $599.77 / $1,528.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.24 / $1,106.83 / $1,379.69