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
$1,103.63 / $2,877.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,650.39 / $3,918.61 / $5,252.78
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.93 / $2,877.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,500.00 / $6,978.00 / $8,911.00