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Illinois rates for HCPCS 49452

Replacement Gastro-Jejunostomy Tube Percutaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.20 / $1,569.50 / $4,451.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.91 / $676.00 / $1,312.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.01 / $1,367.96 / $2,640.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.76 / $662.63 / $1,144.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.35 / $864.62 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.24 / $355.52 / $1,402.83
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.76 / $1,014.86 / $2,151.15
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.51 / $169.70 / $959.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,084.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,183.00 / $2,427.00 / $4,636.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.66 / $1,185.15 / $1,867.16