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Wyoming 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
Professional
Modifier
Low / Median / High Price
$29.82 / $89.93 / $221.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.00 / $143.00 / $546.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.34 / $111.53 / $376.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.00 / $293.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.59 / $302.30 / $493.90