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North Carolina 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
$88.20 / $862.35 / $2,961.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.62 / $133.03 / $247.51
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.23 / $28.72 / $62.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.45 / $217.57 / $430.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.10 / $51.10 / $51.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.29 / $113.21 / $369.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.55 / $159.63 / $302.86
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.00 / $206.00 / $253.75
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.10 / $210.50 / $368.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.00 / $874.00 / $2,074.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.91 / $223.71 / $417.50
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $244.18 / $244.18
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.82 / $961.20 / $1,122.23