| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.84 | $748.62 | $2,000.00 | |
Medica
| Facility | $48.84 | $653.66 | $1,408.31 | |
United
| Facility | $681.00 | $681.00 | $681.00 |
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 | $48.84 | $748.62 | $2,000.00 | |
Medica
| Facility | $48.84 | $653.66 | $1,408.31 | |
United
| Facility | $681.00 | $681.00 | $681.00 |