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Wisconsin 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 $2,399 · 10th–90th $87$4,6770%10%10th90th$2,399Professionalmedian $129 · 10th–90th $30$3630%5%10%10th90th$129$20.0$100.0$500.0$2.0K$10.0K

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
$38.90 / $263.03 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $102.33 / $251.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $3,090.30 / $5,754.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $173.78 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $436.52 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $144.54 / $575.44
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $154.88 / $3,162.28
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $102.33 / $398.11
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $158.49 / $1,584.89
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $346.74 / $1,000.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $891.25 / $2,344.23
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $208.93 / $549.54
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $144.54 / $446.68
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $741.31 / $741.31
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $309.03 / $954.99
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $512.86
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $489.78 / $691.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $1,584.89 / $2,187.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $138.04 / $467.74