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Idaho 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
$1,407.00 / $4,500.00 / $7,045.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.33 / $606.60 / $2,035.77
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,263.85 / $1,837.93 / $2,746.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,450.00 / $6,124.00 / $7,609.00