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West Virginia 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
$30.06 / $126.63 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.92 / $45.34 / $195.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.87 / $35.11 / $50.98
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.01 / $34.01 / $34.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.10 / $51.10 / $51.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.01 / $127.09 / $395.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.41 / $189.88 / $350.23