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Massachusetts rates for HCPCS 49452

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

Facilitymedian $1,413 · 10th–90th $151$3,6310%5%10th90th$1,413Professionalmedian $708 · 10th–90th $138$1,9500%5%10th90th$708$100.0$500.0$2.0K$10.0K$50.0K

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
$794.33 / $1,905.46 / $3,715.35
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $691.83 / $2,137.96
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $1,258.93 / $4,677.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $758.58 / $2,691.53
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $354.81
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $776.25 / $1,698.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $741.31 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $363.08 / $1,905.46
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $169.82 / $3,311.31
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,023.29 / $1,584.89
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $3,162.28 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $741.31 / $1,778.28
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $2,570.40 / $2,691.53
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $1,000.00 / $1,258.93
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $1,258.93 / $4,677.35
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $758.58 / $2,691.53
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $2,398.83 / $6,918.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $724.44 / $1,949.84