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South Carolina 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
$389.05 / $4,897.79 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $446.68 / $1,548.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $1,348.96 / $1,380.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $1,023.29 / $2,041.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $177.83 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $537.03 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $478.63 / $1,737.80
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $1,513.56
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $707.95 / $1,621.81
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $1,479.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $6,165.95 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $537.03 / $1,479.11