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Minnesota rates for HCPCS 49400

Injection Air/Contrast Peritoneal Cavity Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.03 / $144.66 / $2,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.03 / $144.19 / $253.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $72.56 / $788.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.29 / $300.41 / $522.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.67 / $520.77 / $1,252.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.85 / $335.44 / $624.27
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.55 / $459.15 / $986.45
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.06 / $316.25 / $570.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.45 / $211.14 / $430.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.16 / $367.14 / $1,107.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.00 / $1,727.00 / $2,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.07 / $293.70 / $576.41