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Arizona 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
$999.71 / $3,150.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.75 / $676.00 / $1,305.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.79 / $2,064.02 / $3,616.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.71 / $592.61 / $926.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.02 / $565.99 / $927.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.53 / $363.73 / $1,463.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.66 / $696.90 / $1,666.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.10 / $1,127.03 / $5,607.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,214.00 / $2,405.00 / $4,486.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.01 / $970.71 / $1,647.23