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Idaho 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
$469.76 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.14 / $89.93 / $397.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $135.28 / $269.93
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.17 / $214.17 / $250.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.17 / $127.03 / $405.73
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.50 / $213.49 / $258.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $76.86 / $231.27
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.06 / $635.64 / $778.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.88 / $61.62 / $273.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $8,244.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.63 / $230.85 / $358.68