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Pennsylvania 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 $1,288 · 10th–90th $91$7,2440%5%10th90th$1,288Professionalmedian $95 · 10th–90th $29$2570%10%10th90th$95$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
$91.20 / $1,288.25 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $87.10 / $251.19
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,258.93 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $134.90 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $79.43 / $269.15
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $186.21 / $223.87
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $131.83 / $131.83
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $169.82 / $269.15
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $489.78 / $812.83
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.88 / $177.83
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $1,348.96 / $6,165.95
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $125.89 / $316.23
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $229.09 / $371.54
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $147.91 / $501.19
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $97.72 / $162.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $676.08 / $3,890.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $128.82 / $263.03