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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
$488.00 / $2,107.00 / $6,762.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.89 / $1,249.60 / $2,664.27
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.20 / $42.20 / $682.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.67 / $722.59 / $1,652.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $1,151.97
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.74 / $564.02 / $1,199.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.77 / $596.05 / $1,280.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $2,045.00 / $4,480.00