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West 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
$135.91 / $739.90 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.28 / $323.83 / $984.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.66 / $159.49 / $173.77
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.46 / $154.46 / $718.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.35 / $230.35 / $230.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.93 / $537.44 / $1,693.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,225.00 / $1,225.00 / $1,225.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.59 / $1,060.50 / $1,742.52