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Alaska rates for HCPCS 49465

Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including image documentation and report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.56 / $4,473.04 / $11,709.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.03 / $162.11 / $666.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.11 / $109.08 / $489.21
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.72 / $147.47 / $308.77
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.16 / $317.08 / $833.86
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.25 / $457.04 / $835.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.72 / $147.47 / $913.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.54 / $203.37 / $775.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.00 / $365.66 / $551.64