| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.19 | $1,621.81 | $6,606.93 | |
BCBS
| Facility | $363.08 | $537.03 | $707.95 | |
Medica
| Facility | $52.48 | $691.83 | $2,511.89 | |
United
| Facility | $501.19 | $1,949.84 | $3,467.37 |
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 | $501.19 | $1,621.81 | $6,606.93 | |
BCBS
| Facility | $363.08 | $537.03 | $707.95 | |
Medica
| Facility | $52.48 | $691.83 | $2,511.89 | |
United
| Facility | $501.19 | $1,949.84 | $3,467.37 |