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Texas rates for HCPCS 49402

Removal Peritoneal Foreign Body From Cavity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.00 / $2,816.00 / $8,450.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,549.66 / $4,664.01 / $9,452.39
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.02 / $781.02 / $806.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,770.00 / $2,213.00 / $2,846.05
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,558.29 / $11,500.00 / $16,394.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.48 / $1,008.52 / $1,897.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.48 / $1,019.05 / $2,041.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,166.00 / $10,600.00