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Montana 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
$604.00 / $604.00 / $749.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.03 / $122.66 / $195.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.80 / $46.80 / $214.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.80 / $46.80 / $46.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.42 / $147.05 / $273.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.56 / $122.66 / $321.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.33 / $143.71 / $301.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.34 / $256.06 / $355.73