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Tennessee rates for HCPCS 49400

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

Facilitymedian $1,202 · 10th–90th $132$2,6920%10%10th90th$1,202Professionalmedian $145 · 10th–90th $89$2510%10%10th90th$145$50.0$200.0$1.0K$5.0K

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
$218.78 / $1,621.81 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $141.25 / $218.78
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $151.36 / $1,445.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $169.82 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $457.09 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $162.18 / $295.12
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $1,288.25 / $1,288.25
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,230.27 / $1,230.27
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $758.58 / $2,238.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $144.54 / $257.04