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California rates for HCPCS 49402

Removal of peritoneal foreign body from peritoneal cavity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $6,606.93 / $17,782.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,466.84 / $12,022.64
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $3,235.94 / $8,317.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,995.26 / $3,235.94
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $870.96 / $1,174.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $891.25 / $1,698.24
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $28,840.32 / $28,840.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,071.52 / $1,819.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $9,549.93 / $20,892.96