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New Mexico 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
$756.25 / $2,145.78 / $7,838.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.60 / $85.60 / $596.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.02 / $609.59 / $1,167.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.00 / $3,085.00 / $5,060.00