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Arkansas rates for HCPCS 49452

Replacement Gastro-Jejunostomy Tube Percutaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.41 / $1,090.08 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.66 / $717.28 / $1,098.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.41 / $225.41 / $227.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$839.58 / $839.58 / $957.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.97 / $211.73 / $1,047.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$471.20 / $515.00 / $643.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.10 / $277.05 / $1,498.26
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.22 / $259.22 / $261.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.00 / $1,263.00 / $2,421.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.59 / $1,042.90 / $1,591.27