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Tennessee 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
$61.96 / $457.17 / $3,940.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.75 / $81.78 / $204.64
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.50 / $31.12 / $68.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$778.00 / $1,480.00 / $2,244.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.65 / $130.75 / $306.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.10 / $176.41 / $428.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.58 / $80.39 / $274.18
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $244.18 / $244.18
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.82 / $961.20 / $1,122.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $814.00 / $2,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.10 / $219.28 / $333.04