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Texas 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
$153.47 / $1,900.00 / $6,386.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.14 / $122.66 / $195.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.74 / $28.29 / $67.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.41 / $370.53 / $831.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.83 / $97.77 / $211.42
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.70 / $36.78 / $59.55
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.46 / $25.46 / $131.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.10 / $51.10 / $187.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.08 / $70.48 / $258.25
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $115.42 / $244.18
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.82 / $961.20 / $1,122.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.41 / $116.17 / $240.48
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.43 / $161.74 / $288.77
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.71 / $84.60 / $352.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.41 / $116.17 / $245.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.14 / $87.78 / $306.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.00 / $952.00 / $2,376.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.96 / $172.29 / $283.79
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.43 / $123.35 / $175.72