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New York rates for HCPCS 49402

Removal Peritoneal Foreign Body From Cavity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,028.14 / $3,599.00 / $9,038.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,248.00 / $4,838.00 / $11,446.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,204.85 / $1,716.00 / $6,213.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$973.78 / $973.78 / $4,612.43
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $869.00 / $2,299.14
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.45 / $639.45 / $794.05
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $973.78 / $4,612.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,694.00 / $4,893.00 / $11,176.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.05 / $1,012.96 / $2,402.38