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Idaho rates for HCPCS 49402

Removal Peritoneal Foreign Body From Cavity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.00 / $4,500.00 / $7,205.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,046.74 / $1,648.88 / $2,698.49
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,920.51 / $7,779.36 / $11,812.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,360.00 / $16,762.00 / $17,870.00