go back

Rhode Island 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
$1,513.56 / $1,548.82 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $707.95 / $2,041.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $562.34 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $933.25 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $398.11 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $2,398.83 / $5,495.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $645.65 / $1,513.56