go back

Indiana 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
$54.95 / $1,737.80 / $5,623.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $4,466.84 / $8,709.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $50.12 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $676.08 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $3,715.35 / $6,456.54