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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
$1,074.00 / $2,311.00 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.00 / $3,279.00 / $5,737.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$475.00 / $1,992.00 / $2,332.56
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,597.97 / $9,558.29 / $16,394.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,236.00 / $4,021.00 / $7,669.00