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New Mexico 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
$877.50 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.68 / $713.34 / $1,109.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.26 / $2,292.44 / $3,738.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.27 / $447.43 / $1,184.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.35 / $230.35 / $596.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.51 / $284.38 / $1,448.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $206.19 / $1,074.01
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.96 / $658.90 / $1,347.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.64 / $690.63 / $1,704.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.00 / $3,085.00 / $5,060.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.46 / $1,300.76 / $1,837.44