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Illinois rates for HCPCS 49402

Removal of peritoneal foreign body from peritoneal cavity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $1,862.09 / $5,888.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $5,128.61 / $15,135.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $1,288.25 / $3,311.31
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $2,137.96 / $3,548.13
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
$1,584.89 / $4,365.16 / $9,332.54