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Nebraska rates for HCPCS 49402

Removal Peritoneal Foreign Body From Cavity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,318.31 / $5,463.36 / $13,841.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,416.80 / $9,302.56 / $16,325.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.43 / $1,289.33 / $2,028.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.08 / $1,895.73 / $3,033.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,751.42 / $6,178.00 / $8,816.00