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Oklahoma rates for HCPCS 49452

Replacement Gastro-Jejunostomy Tube Percutaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.00 / $2,652.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.28 / $676.00 / $971.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.06 / $490.27 / $710.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.86 / $798.70 / $1,096.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.12 / $232.36 / $1,173.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.44 / $808.77 / $1,964.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.49 / $1,205.66 / $5,607.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.88 / $1,995.00 / $4,083.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.56 / $988.10 / $1,625.87