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Louisiana rates for HCPCS 49452

Replacement Gastro-Jejunostomy Tube Percutaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.55 / $1,264.76 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.66 / $684.04 / $1,208.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$543.65 / $1,008.20 / $1,853.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.15 / $269.23 / $1,306.95
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $115.81 / $484.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.35 / $525.00 / $697.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.74 / $393.02 / $1,397.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.00 / $1,646.00 / $4,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.62 / $1,050.98 / $1,677.51