go back

Missouri rates for HCPCS 49452

Replacement Gastro-Jejunostomy Tube Percutaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.00 / $2,414.00 / $6,284.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.29 / $717.27 / $2,070.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.00 / $1,785.00 / $4,773.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.35 / $309.99 / $1,356.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,652.00 / $1,652.00 / $1,652.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.40 / $333.84 / $1,489.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.63 / $717.28 / $1,713.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.86 / $1,661.93 / $5,607.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,123.00 / $2,259.00 / $2,783.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.44 / $1,192.03 / $1,860.06