go back

West 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
$48.66 / $629.84 / $1,400.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.38 / $59.59 / $64.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.60 / $85.60 / $85.60