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Massachusetts rates for HCPCS 49402

Removal of peritoneal foreign body from peritoneal cavity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $2,884.03 / $5,128.61
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $5,248.07 / $28,840.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $741.31 / $3,715.35
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $1,698.24 / $7,079.46
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $4,570.88 / $11,220.18
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $5,248.07 / $28,840.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $4,786.30 / $10,232.93