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Pennsylvania rates for HCPCS 49402

Removal of peritoneal foreign body from peritoneal cavity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $3,981.07 / $8,317.64
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $7,585.78 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $1,445.44 / $4,466.84
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $1,819.70
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $7,079.46 / $7,079.46
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,818.38 / $8,317.64
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,023.29 / $1,737.80
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $3,630.78 / $10,471.29