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Texas rates for HCPCS 49452

Replacement Gastro-Jejunostomy Tube Percutaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$471.00 / $1,800.00 / $6,021.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.71 / $676.00 / $1,067.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.03 / $122.49 / $248.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$662.67 / $1,194.59 / $2,612.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.12 / $597.91 / $1,151.99
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.25 / $216.71 / $291.24
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.81 / $115.81 / $698.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.67 / $722.59 / $1,652.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.49 / $328.00 / $1,470.49
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $1,221.34
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,737.22 / $5,504.86 / $6,204.53
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.76 / $643.07 / $1,373.92
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.21 / $784.92 / $1,284.41
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $1,288.40 / $2,211.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.76 / $655.81 / $1,447.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.97 / $380.00 / $1,745.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$722.00 / $2,250.00 / $4,739.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.62 / $969.77 / $1,564.79
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.00 / $712.44 / $968.91