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Indiana rates for HCPCS 49452

Replacement Gastro-Jejunostomy Tube Percutaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.88 / $1,139.04 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.91 / $259.49 / $956.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.24 / $139.24 / $183.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $3,399.00 / $6,008.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.02 / $545.34 / $1,956.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.41 / $159.13 / $930.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.02 / $793.22 / $991.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.35 / $674.63 / $761.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.00 / $329.97 / $1,403.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,741.00 / $5,490.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.81 / $988.10 / $1,693.63