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Virginia rates for HCPCS 49402

Removal Peritoneal Foreign Body From Cavity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,088.00 / $3,645.00 / $8,920.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $973.78 / $1,896.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.26 / $968.40 / $1,401.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$885.97 / $1,103.97 / $1,605.78
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$841.34 / $1,055.10 / $1,994.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,236.00 / $8,246.00 / $17,187.00