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Texas 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
$630.96 / $2,454.71 / $7,585.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,288.25 / $2,691.53
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $43.65 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $660.69 / $851.14
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $2,884.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $676.08 / $1,862.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $630.96 / $1,348.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $2,511.89 / $4,786.30