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Ohio rates for HCPCS 49402

Removal of peritoneal foreign body from peritoneal cavity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,265.58 / $3,278.00 / $10,268.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,082.00 / $3,111.00 / $14,996.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$816.94 / $980.33 / $1,213.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.00 / $973.78 / $3,428.85
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.00 / $885.00 / $2,554.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$962.00 / $4,494.00 / $7,778.00