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Wisconsin rates for HCPCS 49452

Replacement Gastro-Jejunostomy Tube Percutaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.02 / $1,016.46 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.29 / $676.00 / $1,305.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,419.00 / $4,441.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.42 / $866.69 / $4,270.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,074.38 / $2,424.08 / $3,718.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.32 / $547.70 / $3,015.51
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.28 / $690.62 / $1,464.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.28 / $756.56 / $3,242.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.35 / $2,821.89 / $5,607.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $1,076.06 / $1,832.95
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.88 / $684.04 / $1,464.13
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.72 / $793.50 / $2,505.13
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.35 / $1,221.34 / $1,221.34
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.08 / $2,821.89 / $5,607.84
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.71 / $2,705.56 / $3,879.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,883.00 / $3,242.00 / $6,438.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.36 / $1,751.24 / $3,843.93