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North Carolina rates for HCPCS 49402

Removal of peritoneal foreign body from peritoneal cavity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $3,235.94 / $8,128.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $1,995.26 / $2,187.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $1,445.44 / $2,754.23
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,380.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,023.29 / $1,659.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $5,128.61 / $14,125.38
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $9,549.93 / $28,840.32