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Tennessee rates for HCPCS 49400

Injection Air/Contrast Peritoneal Cavity Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.27 / $1,794.00 / $6,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.85 / $136.62 / $212.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.00 / $148.00 / $1,676.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.68 / $161.55 / $266.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.58 / $605.00 / $2,530.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.24 / $167.71 / $287.86
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $507.10 / $516.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.20 / $1,073.52 / $1,234.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.00 / $740.00 / $2,127.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.30 / $187.21 / $336.05