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Arkansas rates for HCPCS 49400

Injection Air/Contrast Peritoneal Cavity Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.13 / $803.00 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.46 / $138.41 / $190.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.28 / $140.12 / $208.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.00 / $515.00 / $515.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.42 / $169.31 / $255.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $271.00 / $721.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.30 / $183.14 / $291.47