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Washington 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 $288 · 10th–90th $51–$6,4570%5%10%10th90th$288Professionalmedian $126 · 10th–90th $30–$3390%10%10th90th$126$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
$61.66 / $691.83 / $11,481.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $123.03 / $269.15
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $22.39
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $645.65 / $1,318.26
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $100.00 / $346.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $102.33 / $398.11
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $199.53 / $389.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $151.36 / $354.81
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $263.03 / $309.03
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $186.21
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $186.21 / $338.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $676.08 / $1,318.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $97.72 / $338.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $831.76 / $1,905.46
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $128.82 / $346.74
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $51.29 / $190.55