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Pennsylvania 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
$197.17 / $1,892.44 / $5,868.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.47 / $208.58 / $760.53
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,299.82 / $2,746.00 / $13,822.74
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.49 / $562.92 / $1,160.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $719.77 / $1,418.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.97 / $171.30 / $1,104.19
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.97 / $141.97 / $141.97
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.65 / $888.31 / $1,132.18
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.74 / $2,289.23 / $4,714.66
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.01 / $72.01 / $107.54
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.00 / $2,074.48 / $7,175.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.07 / $348.30 / $1,269.49
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$809.70 / $809.70 / $809.70
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $962.40 / $1,712.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.56 / $714.12 / $1,404.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.19 / $184.00 / $1,101.32
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.58 / $444.09 / $4,793.57
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.58 / $565.24 / $630.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $1,734.00 / $4,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.48 / $765.07 / $1,279.74