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Illinois rates for HCPCS 49400

Injection Air/Contrast Peritoneal Cavity Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.09 / $1,129.00 / $5,389.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.21 / $141.13 / $236.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.55 / $993.04 / $1,988.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.23 / $158.51 / $253.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.58 / $153.58 / $153.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.55 / $167.42 / $290.14
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.22 / $213.47 / $503.46
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.31 / $113.49 / $198.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $224.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.00 / $891.00 / $3,399.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.13 / $201.87 / $320.72