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California rates for HCPCS 49402

Removal Peritoneal Foreign Body From Cavity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,539.00 / $6,423.00 / $18,656.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$961.00 / $4,464.00 / $10,705.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.90 / $100.00 / $7,121.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$628.36 / $1,999.74 / $5,874.33
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.00 / $930.05 / $1,255.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.55 / $1,025.81 / $1,885.75
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,597.97 / $9,558.29 / $16,394.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$815.24 / $1,050.06 / $1,632.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,922.60 / $9,606.00 / $21,278.00