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Nebraska 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
$1,479.11 / $3,548.13 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $602.56 / $1,659.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $1,995.26 / $3,890.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $616.60 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $616.60 / $2,238.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $724.44 / $1,698.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,819.70 / $5,623.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $1,412.54 / $2,511.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $1,412.54 / $1,737.80
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $1,905.46 / $2,187.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $3,162.28 / $8,128.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $870.96 / $1,905.46