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Replacement of Small-Intestine Feeding Tube

South Dakota rates for HCPCS 49451

An existing feeding tube that enters the small intestine through the skin of the abdomen is exchanged for a new one. The tube is swapped over a guide wire using live X-ray, contrast dye is injected to confirm the new tube sits correctly, and images are saved and reported. No incision or scope is needed and it is usually a short outpatient visit.

Rates data updated July 2026.

How much does Replacement of Small-Intestine Feeding Tube cost?

$891

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $891 for this service. Most negotiated rates run $170 to $1,175.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $589 · 10th to 90th $91 to $2,291Professionalmedian $891 · 10th to 90th $145 to $1,230
$100$200$500$1K$2Kfacility $589professional $891

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$2,290.87
Typical High
$4,365.16
Avera
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$173.78
Typical High
$1,071.52
Medica
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$549.54
Typical High
$1,819.70
Midlands
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$213.80
Typical High
$1,621.81
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$891.25
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26

Where South Dakota sits

The same service costs 10.7 times more in New Jersey than in Maine. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Dakota· 39th of 50

$891

NJ $4,786ME $447

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.