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Virginia rates for HCPCS 49402

Removal of peritoneal foreign body from peritoneal cavity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $3,630.78 / $8,912.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $6,760.83 / $7,413.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $1,698.24 / $1,905.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $912.01 / $1,513.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,174.90 / $1,380.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,122.02 / $1,698.24
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,023.29 / $3,715.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $8,317.64 / $17,378.01