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Montana rates for HCPCS 49402

Removal of peritoneal foreign body from peritoneal cavity

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,348.96
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,479.11 / $1,778.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,258.93 / $2,137.96