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South Dakota 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
$81.28 / $645.65 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $549.54 / $1,584.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $213.80 / $1,621.81
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $891.25 / $1,230.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26