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Arizona rates for HCPCS 49400

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

Facilitymedian $1,445 · 10th–90th $110–$5,6230%5%10th90th$1,445Professionalmedian $145 · 10th–90th $87–$2880%10%10th90th$145$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$1,445.44 / $3,090.30 / $6,309.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $144.54 / $281.84
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $331.13 / $616.60
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $173.78 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $154.88 / $281.84
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $151.36 / $371.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $218.78 / $1,096.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $933.25 / $2,137.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $138.04 / $245.47