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Washington, DC rates for HCPCS 49400

Injection Air/Contrast Peritoneal Cavity Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.26 / $2,761.00 / $4,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.86 / $131.80 / $178.26
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.95 / $107.01 / $284.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.19 / $150.30 / $399.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.68 / $195.42 / $341.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $442.00 / $5,940.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.77 / $175.61 / $415.00