go back

Ohio rates for HCPCS 49452

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

Facilitymedian $2,089 · 10th–90th $457$9,1200%10%10th90th$2,089Professionalmedian $562 · 10th–90th $135$1,5850%10%10th90th$562$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$263.03 / $2,089.30 / $10,232.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $676.08 / $1,698.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $2,137.96 / $3,981.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $588.84 / $1,659.59
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $141.25 / $630.96
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $141.25 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $562.34 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $302.00 / $1,380.38
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $724.44 / $1,819.70
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $295.12 / $1,288.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $125.89
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $562.34
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $575.44 / $1,348.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $2,187.76 / $4,897.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $588.84 / $1,288.25