go back

Michigan rates for HCPCS 49402

Removal of peritoneal foreign body from peritoneal cavity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $4,897.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $1,288.25 / $1,288.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $2,884.03 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $5,754.40 / $9,549.93