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Texas rates for HCPCS 49400

Injection Air/Contrast Peritoneal Cavity Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.69 / $2,107.00 / $6,762.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.06 / $138.99 / $208.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.53 / $165.53 / $165.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.00 / $2,673.00 / $4,277.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.56 / $137.26 / $191.27
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.67 / $77.67 / $146.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.58 / $2,277.00 / $4,619.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.57 / $162.24 / $284.30
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $516.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.20 / $1,073.52 / $1,234.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.68 / $151.37 / $274.56
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.28 / $160.65 / $256.36
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.40 / $152.69 / $398.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.68 / $151.69 / $296.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.36 / $176.97 / $323.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.00 / $919.00 / $2,290.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.09 / $160.16 / $258.70
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.58 / $143.47 / $194.37