go back

Kansas rates for HCPCS 49400

Injection Air/Contrast Peritoneal Cavity Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.97 / $3,232.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.78 / $152.30 / $254.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.00 / $1,219.00 / $2,266.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.55 / $129.55 / $186.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.00 / $439.00 / $914.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.02 / $167.68 / $293.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.78 / $160.66 / $346.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.77 / $252.44 / $1,107.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.00 / $550.00 / $1,713.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.28 / $191.45 / $296.08