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Alaska rates for HCPCS 49452

Replacement of gastro-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
$2,066.23 / $6,541.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.36 / $771.54 / $3,777.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.93 / $708.63 / $2,337.41
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.04 / $805.54 / $5,288.49
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.11 / $1,137.24 / $4,616.43
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.60 / $1,080.00 / $5,120.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.04 / $805.54 / $5,288.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.77 / $960.85 / $4,990.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.00 / $2,078.82 / $5,734.09