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Minnesota 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
$28.18 / $134.90 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $87.10 / $245.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $467.74 / $1,096.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $162.18 / $426.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $512.86 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $141.25 / $501.19
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $489.78 / $977.24
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $204.17 / $467.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $138.04 / $416.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $316.23 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,862.09 / $3,467.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $138.04 / $407.38