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West Virginia rates for HCPCS 49452

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

Facilitymedian $741 · 10th–90th $135–$1,4130%20%10th90th$741Professionalmedian $468 · 10th–90th $129–$1,2020%10%10th90th$468$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$134.90 / $741.31 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $457.09 / $1,202.26
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $144.54 / $173.78
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $154.88 / $154.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $229.09 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $707.95 / $4,897.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $1,230.27 / $2,511.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $489.78 / $1,479.11