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Massachusetts rates for HCPCS 49402

Removal Peritoneal Foreign Body From Cavity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.11 / $2,618.00 / $3,625.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.63 / $4,983.00 / $16,394.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.00 / $748.00 / $3,751.11
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$506.00 / $1,796.72 / $6,679.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $5,597.97 / $16,394.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $3,245.00 / $7,608.00