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Missouri 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
$125.52 / $2,414.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.17 / $125.51 / $353.43
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.50 / $42.52 / $43.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.84 / $68.84 / $262.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.10 / $51.10 / $51.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.47 / $93.39 / $270.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.82 / $134.60 / $383.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.63 / $281.81 / $1,005.20
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.32 / $50.32 / $50.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $875.00 / $1,351.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.63 / $228.16 / $341.46