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Louisiana rates for HCPCS 49400

Injection Air/Contrast Peritoneal Cavity Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.50 / $1,273.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.60 / $148.55 / $214.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.87 / $445.80 / $1,088.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.50 / $165.53 / $235.72
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $77.67 / $77.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.58 / $525.00 / $815.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.15 / $161.34 / $278.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.00 / $513.00 / $1,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.01 / $178.63 / $307.11