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Virginia 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
$102.88 / $1,318.37 / $6,827.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.00 / $2,390.00 / $2,954.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.61 / $509.74 / $617.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.98 / $717.00 / $1,235.71
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.82 / $679.84 / $1,242.31
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.97 / $119.22 / $216.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $2,521.00 / $5,226.00