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Arkansas 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
$46.77 / $794.33 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $102.33 / $199.53
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $30.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $323.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $42.66 / $186.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $131.83 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $67.61 / $275.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $346.74 / $776.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $134.90 / $263.03