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Kansas 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
$970.52 / $2,690.00 / $9,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $729.48 / $1,309.68
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.46 / $111.46 / $140.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.78 / $587.78 / $587.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.05 / $232.05 / $1,385.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.00 / $596.00 / $621.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.05 / $531.80 / $1,525.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.59 / $808.77 / $1,580.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.27 / $1,358.91 / $5,607.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$816.00 / $1,593.85 / $3,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.89 / $1,062.53 / $1,591.52