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Florida rates for HCPCS 49400

Injection Air/Contrast Peritoneal Cavity Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.65 / $3,276.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.39 / $121.92 / $189.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.58 / $333.00 / $2,530.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.54 / $149.19 / $261.61
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.82 / $172.72 / $323.69
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.84 / $127.27 / $183.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.73 / $141.18 / $208.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.00 / $1,454.00 / $4,429.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.33 / $164.28 / $281.25
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.17 / $113.36 / $113.36