go back

Nebraska rates for HCPCS 49452

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,545.00 / $4,241.22 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.86 / $329.60 / $1,309.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,533.80 / $2,223.57 / $3,902.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.93 / $297.56 / $1,431.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.81 / $1,130.45 / $2,517.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.96 / $729.48 / $1,878.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.99 / $1,850.39 / $5,607.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.21 / $1,410.17 / $2,497.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.13 / $1,496.96 / $2,276.01
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $1,238.80 / $2,549.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,679.00 / $3,167.00 / $7,772.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.99 / $1,820.38 / $2,295.96