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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
$936.00 / $2,640.00 / $6,060.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.79 / $2,064.02 / $3,616.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.02 / $565.99 / $927.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.21 / $645.04 / $1,385.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$966.00 / $2,499.00 / $4,486.00