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North Dakota 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
$893.44 / $1,449.20 / $1,572.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.62 / $779.08 / $2,045.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.01 / $1,085.32 / $1,870.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.17 / $549.60 / $1,976.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.25 / $739.90 / $1,652.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.27 / $1,688.79 / $2,821.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.00 / $681.00 / $1,978.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.24 / $1,589.94 / $2,350.36