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North Carolina rates for HCPCS 49400

Injection Air/Contrast Peritoneal Cavity Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.31 / $547.27 / $4,311.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.03 / $144.66 / $227.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.43 / $220.76 / $384.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.58 / $153.58 / $812.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.80 / $190.42 / $330.90
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.03 / $156.00 / $269.22
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.00 / $190.00 / $358.34
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.40 / $152.69 / $316.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.00 / $120.00 / $1,251.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.28 / $191.96 / $371.51
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $507.10 / $507.10
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.20 / $1,073.52 / $1,234.88