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Arizona rates for HCPCS 49460

Mechanical removal of obstructive material from gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, any method, under fluoroscopic guidance including contrast injection(s), if performed, image documentation and report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $3,090.30 / $6,309.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $1,445.44 / $2,691.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $562.34 / $933.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $645.65 / $1,584.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,698.24 / $4,677.35