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Delaware 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
$346.74 / $2,137.96 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $398.11 / $1,905.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $398.11 / $1,479.11
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,754.23 / $21,877.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $416.87 / $1,318.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $602.56 / $1,288.25