go back

Massachusetts rates for HCPCS 49400

Injection Air/Contrast Peritoneal Cavity Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.86 / $1,823.00 / $3,363.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.73 / $136.62 / $212.61
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $507.10 / $2,713.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.58 / $248.24 / $1,073.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.80 / $129.53 / $231.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.94 / $209.11 / $424.90
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.90 / $377.00 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.72 / $216.58 / $383.43
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.95 / $241.44 / $402.82
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $627.00 / $2,733.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.49 / $373.68 / $1,073.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.00 / $1,078.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.77 / $233.42 / $539.59