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Nebraska 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
$306.52 / $3,908.01 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.36 / $127.68 / $304.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.33 / $392.13 / $736.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.44 / $66.93 / $256.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.37 / $169.92 / $427.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.54 / $213.48 / $347.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.91 / $311.32 / $1,005.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.25 / $252.74 / $427.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.78 / $278.08 / $397.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.91 / $308.02 / $401.16