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Oklahoma rates for HCPCS 49400

Injection Air/Contrast Peritoneal Cavity Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $2,923.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.59 / $123.64 / $162.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.90 / $142.80 / $196.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.21 / $150.94 / $225.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.39 / $162.93 / $579.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.30 / $220.92 / $1,107.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $610.00 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.30 / $164.75 / $247.32