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North Dakota rates for HCPCS 49400

Injection of air or contrast into peritoneal cavity (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.82 / $145.87 / $2,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.03 / $140.09 / $189.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.56 / $227.20 / $374.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.55 / $226.17 / $423.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.82 / $147.86 / $278.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.40 / $267.60 / $1,107.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.00 / $125.00 / $125.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.34 / $234.45 / $380.03