go back

Alaska rates for HCPCS 49400

Injection of air or contrast into peritoneal cavity (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.12 / $6,541.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.60 / $159.87 / $786.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.69 / $203.59 / $474.75
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.52 / $501.72 / $1,100.90
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.37 / $467.25 / $932.40
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.75 / $536.00 / $812.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.52 / $501.72 / $1,100.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.44 / $407.92 / $770.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.80 / $385.77 / $1,139.40