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Massachusetts rates for HCPCS 49452

Replacement Gastro-Jejunostomy Tube Percutaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.00 / $1,803.00 / $3,363.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.28 / $500.03 / $1,347.19
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.72 / $1,221.34 / $4,569.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.56 / $1,421.28 / $5,504.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.03 / $194.07 / $385.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.38 / $335.51 / $1,683.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.00 / $748.00 / $1,120.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.04 / $466.11 / $2,172.46
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.33 / $1,349.66 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.23 / $1,127.67 / $1,945.75
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.43 / $768.04 / $2,001.43
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,508.32 / $1,991.45 / $2,701.30
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.38 / $193.01 / $208.03
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,267.00 / $4,755.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,052.10 / $2,043.09 / $5,504.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.00 / $3,133.00 / $8,425.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$939.15 / $1,499.04 / $3,385.06