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Oklahoma 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
$501.19 / $1,778.28 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $707.95 / $1,380.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $213.80 / $251.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $537.03 / $707.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $794.33 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $245.47 / $1,288.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $794.33 / $2,570.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,122.02 / $5,623.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $1,949.84 / $3,467.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $537.03 / $1,258.93