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Minnesota 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
$125.89 / $1,445.44 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $707.95 / $1,737.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $2,344.23 / $6,760.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $851.14 / $2,454.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $2,884.03 / $6,918.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $758.58 / $3,019.95
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,754.23 / $5,495.41
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $891.25 / $2,630.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $891.25 / $2,238.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,698.24 / $5,623.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $2,691.53 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $741.31 / $2,398.83