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New Jersey rates for HCPCS 49400

Injection Air/Contrast Peritoneal Cavity Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.56 / $3,827.00 / $9,784.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.21 / $135.85 / $200.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.39 / $166.57 / $356.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.06 / $206.13 / $273.52
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.00 / $149.36 / $252.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,401.00 / $3,336.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.26 / $150.91 / $345.27