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Wyoming rates for HCPCS 49400

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.27 / $131.80 / $208.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.00 / $354.00 / $597.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.05 / $184.65 / $311.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.00 / $293.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.75 / $257.94 / $609.69