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Tennessee rates for HCPCS 49402

Removal of peritoneal foreign body from peritoneal cavity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $2,290.87 / $4,073.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,890.45 / $5,888.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $1,819.70 / $3,630.78
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $28,840.32 / $28,840.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $4,466.84 / $7,585.78