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Maryland 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
$58.78 / $812.82 / $5,407.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.00 / $530.82 / $891.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.64 / $857.72 / $1,336.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.00 / $453.00 / $1,330.00