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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
$51.29 / $870.96 / $5,370.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $478.63 / $676.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $831.76 / $1,148.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $524.81 / $1,318.26