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Oregon rates for HCPCS 49402

Removal of peritoneal foreign body from peritoneal cavity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $2,137.96 / $7,943.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $2,290.87 / $2,884.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,621.81 / $1,995.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,122.02 / $2,089.30
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,659.59 / $1,737.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,230.27 / $2,041.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $12,022.64 / $14,791.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $12,882.50 / $25,118.86