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Alabama rates for HCPCS 49400

Injection Air/Contrast Peritoneal Cavity Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.41 / $927.00 / $1,768.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.21 / $154.46 / $301.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$403.21 / $489.32 / $658.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.40 / $159.30 / $217.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.45 / $154.08 / $364.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.00 / $750.00 / $1,326.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.33 / $153.22 / $246.56