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New Mexico rates for HCPCS 49402

Removal of peritoneal foreign body from peritoneal cavity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,380.38 / $7,762.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $9,772.37 / $15,488.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $1,995.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,071.52 / $1,949.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $7,762.47 / $15,488.17