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Tennessee rates for HCPCS 49452

Replacement Gastro-Jejunostomy Tube Percutaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.35 / $1,709.00 / $6,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.28 / $676.00 / $1,171.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.47 / $134.47 / $250.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $2,085.00 / $2,805.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.47 / $457.98 / $1,612.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $633.42 / $1,487.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.63 / $433.10 / $1,560.57
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,221.34 / $1,221.34
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,737.22 / $5,504.86 / $6,204.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $2,216.00 / $4,099.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.64 / $1,136.21 / $1,852.88