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Illinois rates for HCPCS 49402

Removal Peritoneal Foreign Body From Cavity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.59 / $1,637.17 / $4,634.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,726.90 / $6,511.40 / $17,731.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $908.00 / $3,279.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.15 / $1,486.71 / $3,082.93
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,600.00 / $4,391.00 / $8,040.00