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Maine rates for HCPCS 49451

Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.06 / $442.06 / $872.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.61 / $149.61 / $699.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.06 / $442.06 / $2,432.77