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Minnesota rates for HCPCS 49402

Removal of peritoneal foreign body from peritoneal cavity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $2,630.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $8,317.64 / $19,054.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $2,951.21 / $7,079.46
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $2,884.03 / $5,495.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,348.96 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $5,011.87 / $10,000.00