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Idaho 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
$233.57 / $1,616.55 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.38 / $676.00 / $2,329.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.82 / $424.39 / $1,512.74
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.48 / $676.00 / $2,376.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.49 / $799.19 / $1,427.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,010.96 / $1,271.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,263.85 / $1,837.93 / $2,746.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.30 / $307.95 / $1,591.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,450.00 / $6,124.00 / $7,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.48 / $1,282.50 / $1,850.94