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Michigan 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
$40.93 / $555.97 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.03 / $81.03 / $195.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.50 / $29.91 / $38.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.14 / $406.93 / $970.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.54 / $33.24 / $59.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.10 / $51.10 / $51.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.94 / $106.82 / $285.36
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.15 / $555.97 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.72 / $162.94 / $224.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.54 / $131.84 / $186.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.00 / $1,438.00 / $2,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.09 / $204.05 / $286.98