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Indiana rates for HCPCS 49402

Removal of peritoneal foreign body from peritoneal cavity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $3,467.37 / $7,244.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $13,803.84 / $19,054.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $831.76 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,445.44 / $2,238.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $7,762.47 / $10,964.78