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New Hampshire rates for HCPCS 49452

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

Facilitymedian $2,399 · 10th–90th $589–$8,9130%10%10th90th$2,399Professionalmedian $447 · 10th–90th $138–$1,5490%5%10th90th$447$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
$588.84 / $2,398.83 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $446.68 / $1,380.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,412.54 / $3,467.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $281.84 / $1,258.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,348.96 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $371.54 / $1,862.09
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $3,890.45 / $8,709.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $676.08 / $1,737.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $3,890.45 / $8,709.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $758.58 / $1,905.46
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $83.18 / $1,000.00