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Tennessee 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
$104.86 / $1,794.00 / $6,681.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.00 / $2,060.00 / $2,805.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $633.42 / $1,487.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,151.97 / $1,151.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $2,257.00 / $4,099.00