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Pennsylvania rates for HCPCS 49402

Removal Peritoneal Foreign Body From Cavity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$909.00 / $2,747.00 / $8,017.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.00 / $1,865.00 / $4,650.74
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,925.39 / $1,925.39 / $1,925.39
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,056.23 / $7,056.23 / $7,056.23
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,120.00 / $8,017.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.00 / $870.00 / $870.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.00 / $1,403.00 / $4,425.45
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$797.24 / $835.80 / $835.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,265.00 / $3,331.00 / $6,000.00