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New York 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
$72.44 / $2,630.27 / $7,413.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $3,630.78 / $5,011.87
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $1,258.93 / $4,073.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $85.11 / $3,801.89
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $61.66 / $162.18
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,630.78 / $8,128.31
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $60.26 / $177.83