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Hawaii rates for HCPCS 49402

Removal Peritoneal Foreign Body From Cavity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.88 / $2,747.00 / $3,883.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,088.40 / $1,088.40 / $1,088.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.24 / $995.36 / $1,161.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $2,155.00 / $2,155.00