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Kentucky 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
$37.78 / $820.22 / $3,740.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.14 / $70.58 / $189.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,013.00 / $8,584.00 / $11,253.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.18 / $122.29 / $217.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.31 / $37.76 / $44.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.87 / $40.27 / $173.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.10 / $51.10 / $51.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.43 / $138.77 / $310.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.84 / $32.34 / $140.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $668.00 / $3,481.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.74 / $201.47 / $293.06