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Alaska rates for HCPCS 49402

Removal of peritoneal foreign body from peritoneal cavity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,465.65 / $8,303.41 / $13,413.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.53 / $4,507.67 / $6,310.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.53 / $4,507.67 / $6,310.74