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Mississippi rates for HCPCS 49400

Injection Air/Contrast Peritoneal Cavity Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.97 / $950.00 / $1,831.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.45 / $160.62 / $428.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.00 / $204.00 / $204.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.84 / $175.13 / $266.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.00 / $485.00 / $1,888.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.30 / $188.21 / $374.89