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Maryland rates for HCPCS 49402

Removal Peritoneal Foreign Body From Cavity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,555.45 / $1,555.45 / $2,523.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $1,772.93 / $2,260.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$844.28 / $1,037.08 / $1,599.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,028.00 / $1,347.00 / $3,219.00