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Oklahoma 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
$625.00 / $2,445.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.14 / $128.01 / $162.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.76 / $43.76 / $43.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.08 / $581.61 / $842.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.75 / $136.85 / $187.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.52 / $39.52 / $42.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.14 / $50.00 / $219.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.36 / $149.80 / $940.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.97 / $205.62 / $1,005.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $610.00 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.27 / $172.29 / $283.50