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Vermont 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
Professional
Modifier
Low / Median / High Price
$138.04 / $707.95 / $2,454.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $2,884.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $549.54 / $2,884.03
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,288.25 / $2,290.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $870.96 / $1,819.70