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Utah rates for HCPCS 49452

Replacement Gastro-Jejunostomy Tube Percutaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.19 / $2,606.69 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.28 / $684.04 / $1,440.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.31 / $531.80 / $1,421.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.06 / $634.54 / $813.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,338.59 / $1,718.74 / $2,504.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.95 / $309.79 / $1,572.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.00 / $4,455.00 / $4,912.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.59 / $991.62 / $1,593.38