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South Carolina rates for HCPCS 49400

Injection of air or contrast into peritoneal cavity (separate procedure)

Facilitymedian $224 · 10th–90th $107–$7,9430%5%10th90th$224Professionalmedian $141 · 10th–90th $87–$2140%10%10th90th$141$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $4,897.79 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $138.04 / $208.93
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $151.36 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $371.54 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $165.96 / $323.59
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $158.49 / $302.00
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $162.18 / $295.12
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $1,122.02 / $4,677.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $141.25 / $281.84