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North Carolina rates for HCPCS 49402

Removal Peritoneal Foreign Body From Cavity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$839.50 / $1,343.23 / $7,278.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,651.14 / $1,816.25 / $3,082.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.00 / $1,731.47 / $3,266.42
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$839.50 / $1,047.11 / $1,509.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$902.00 / $1,597.00 / $11,999.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,597.97 / $9,558.29 / $16,394.00