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Missouri rates for HCPCS 49402

Removal Peritoneal Foreign Body From Cavity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.00 / $3,214.00 / $7,365.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.00 / $1,785.00 / $4,773.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,213.00 / $2,213.00 / $2,213.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.13 / $1,298.45 / $4,553.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,233.00 / $5,740.00