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Virginia 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
$56.09 / $3,226.00 / $8,294.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.00 / $2,390.00 / $2,954.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.60 / $509.74 / $617.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.60 / $790.75 / $1,312.65
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.56 / $711.22 / $1,289.67
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.12 / $62.51 / $117.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $2,521.00 / $5,226.00