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Virginia 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
$230.75 / $1,029.83 / $5,743.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.22 / $676.00 / $1,109.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.00 / $2,390.00 / $2,954.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.61 / $603.14 / $1,087.19
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.21 / $144.44 / $290.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.35 / $509.74 / $617.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $354.79 / $1,488.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.28 / $841.99 / $1,523.35
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.40 / $836.63 / $1,519.72
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.00 / $1,273.00 / $1,612.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.22 / $185.34 / $334.34
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.43 / $1,154.93 / $1,961.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516.00 / $2,441.00 / $5,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.23 / $1,167.75 / $1,714.28