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Rhode Island rates for HCPCS 49400

Injection Air/Contrast Peritoneal Cavity Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.41 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.60 / $136.62 / $200.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.69 / $324.23 / $416.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.51 / $154.44 / $198.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.34 / $194.54 / $340.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.00 / $1,183.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.80 / $206.68 / $319.25