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Maryland rates for HCPCS 49452

Replacement Gastro-Jejunostomy Tube Percutaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$845.65 / $1,085.75 / $1,784.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.41 / $708.60 / $1,347.19
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.21 / $144.44 / $201.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.00 / $530.82 / $891.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.85 / $337.20 / $1,527.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.52 / $919.22 / $1,549.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.00 / $525.00 / $1,316.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.06 / $1,024.19 / $1,768.53
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.07 / $880.92 / $1,086.32