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Idaho rates for HCPCS 49400

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

Facilitymedian $229 · 10th–90th $110–$4,4670%5%10th90th$229Professionalmedian $155 · 10th–90th $89–$2950%10%10th90th$155$50.0$200.0$1.0K$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
$1,412.54 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $151.36 / $269.15
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $371.54 / $912.01
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $223.87 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $173.78 / $269.15
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $190.55 / $354.81
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $181.97 / $302.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $204.17 / $295.12
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $144.54 / $302.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $8,317.64 / $9,332.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $162.18 / $263.03