go back

Maine rates for HCPCS 49465

Contrast Injection Perq Radiologic Eval Gi Tube

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.97 / $373.34 / $373.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.03 / $65.29 / $195.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.54 / $86.21 / $213.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.59 / $78.55 / $306.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.69 / $111.65 / $292.64
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.34 / $373.34 / $581.70
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.06 / $73.12 / $240.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.63 / $223.07 / $336.25