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Washington, DC 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
$169.11 / $1,793.00 / $4,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.14 / $42.80 / $177.43
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.84 / $33.84 / $573.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.31 / $81.63 / $321.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.02 / $166.63 / $322.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $442.00 / $5,940.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.79 / $266.93 / $392.05