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New Mexico rates for HCPCS 49465

Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including image documentation and report

Facilitymedian $200 · 10th–90th $41–$2,0890%10%10th90th$200Professionalmedian $79 · 10th–90th $29–$2240%10%20%10th90th$79$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$40.74 / $977.24 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $74.13 / $218.78
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $812.83 / $1,318.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $131.83 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $67.61 / $263.03
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $154.88
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $125.89 / $275.42
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $79.43 / $288.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $1,047.13 / $1,412.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $134.90 / $288.40