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Illinois 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
$331.13 / $1,819.70 / $5,623.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $1,148.15 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $977.24 / $1,000.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $1,071.52 / $1,659.59
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $2,187.76 / $4,570.88