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North Carolina 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
$47.58 / $1,083.06 / $5,449.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.44 / $585.73 / $975.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.58 / $736.96 / $1,218.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.00 / $650.00 / $4,824.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,151.97 / $1,151.97