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Louisiana 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
$501.19 / $1,288.25 / $3,890.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,023.29 / $1,862.09
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $42.66 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $537.03 / $741.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $1,318.26 / $3,388.44