go back

New York 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
$43.03 / $2,626.00 / $7,563.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.82 / $65.75 / $238.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,691.00 / $3,366.00 / $4,707.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.54 / $159.50 / $376.22
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.38 / $43.38 / $4,050.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.38 / $43.38 / $209.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.10 / $51.10 / $14,648.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.97 / $98.27 / $349.81
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $50.38 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.34 / $187.53 / $281.29
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.73 / $175.31 / $284.87
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.93 / $273.93 / $778.20
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $44.11 / $184.50
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.10 / $51.10 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.96 / $157.16 / $404.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,079.00 / $2,884.00 / $4,840.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.30 / $169.54 / $421.12
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.92 / $35.92 / $108.00
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.34 / $161.49 / $284.87