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Maine 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
$371.54 / $371.54 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $128.82 / $245.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $100.00 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $83.18 / $309.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $144.54 / $338.84
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $575.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $125.89 / $380.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $123.03 / $288.40