go back

Colorado 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
$1,098.00 / $3,133.00 / $8,652.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.03 / $136.62 / $205.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.87 / $171.52 / $287.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.58 / $800.00 / $2,530.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.06 / $171.64 / $272.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.34 / $151.37 / $254.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.67 / $176.35 / $290.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.00 / $1,077.00 / $2,720.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.10 / $229.00 / $338.08