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Oklahoma 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
$501.19 / $2,398.83 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $141.25 / $234.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $141.25 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $154.88 / $245.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $162.18 / $707.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $199.53 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $630.96 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $128.82 / $218.78