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Indiana rates for HCPCS 49452

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

Facilitymedian $3,631 · 10th–90th $204–$7,2440%5%10%10th90th$3,631Professionalmedian $398 · 10th–90th $135–$1,5850%10%10th90th$398$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
$162.18 / $1,148.15 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $398.11 / $1,479.11
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $302.00 / $302.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $4,265.80 / $8,317.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $630.96 / $2,089.30
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $134.90 / $151.36
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $117.49 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $676.08 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $331.13 / $1,479.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $3,715.35 / $6,456.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $588.84 / $1,258.93