| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $139.30 | $993.00 | $1,831.00 | |
BCBS
| Facility | $516.26 | $516.26 | $516.26 | |
Cigna
| Facility | $415.00 | $455.62 | $848.70 | |
United
| Facility | $575.00 | $1,305.00 | $4,939.00 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $139.30 | $993.00 | $1,831.00 | |
BCBS
| Facility | $516.26 | $516.26 | $516.26 | |
Cigna
| Facility | $415.00 | $455.62 | $848.70 | |
United
| Facility | $575.00 | $1,305.00 | $4,939.00 |