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Nebraska 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
$1,506.15 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.17 / $140.09 / $254.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.78 / $479.53 / $841.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.76 / $167.62 / $281.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.12 / $280.02 / $412.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.17 / $158.19 / $292.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.30 / $340.66 / $1,107.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.33 / $280.02 / $400.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.68 / $276.36 / $389.10
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $164.00 / $392.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.30 / $323.64 / $368.79