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Minnesota rates for HCPCS 49402

Removal Peritoneal Foreign Body From Cavity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.14 / $770.14 / $2,525.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,728.45 / $6,616.98 / $13,240.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,796.92 / $2,804.53 / $6,746.68
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,557.19 / $2,559.32 / $5,312.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.11 / $1,534.04 / $2,608.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $5,499.00 / $9,810.00