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Indiana rates for HCPCS 49402

Removal Peritoneal Foreign Body From Cavity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$820.19 / $1,941.00 / $7,212.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,234.00 / $5,126.00 / $13,758.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.48 / $987.32 / $1,139.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.00 / $973.78 / $2,258.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,699.00 / $6,741.00 / $11,284.00