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Wyoming 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
$133.86 / $197.86 / $1,171.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.00 / $533.00 / $3,053.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.68 / $576.58 / $1,928.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $5,606.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.08 / $1,548.02 / $3,044.58