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Alaska rates for HCPCS 49452

Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report

Facilitymedian $776 · 10th–90th $155–$2,1880%5%10%10th90th$776Professionalmedian $708 · 10th–90th $132–$2,1880%10%10th90th$708$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $5,888.44 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $446.68 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $660.69 / $1,513.56
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $758.58 / $1,995.26
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $954.99 / $3,715.35
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $2,570.40 / $4,786.30
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $758.58 / $1,995.26
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $489.78 / $1,905.46
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $724.44 / $2,089.30