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Washington rates for HCPCS 49402

Removal Peritoneal Foreign Body From Cavity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,307.25 / $3,810.00 / $18,711.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,193.67 / $9,586.75 / $16,394.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.25 / $761.81 / $3,991.53
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$938.62 / $1,817.44 / $3,651.07
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,238.50 / $1,645.20 / $1,720.56
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.43 / $1,460.91 / $2,583.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,718.33 / $9,804.29 / $18,754.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,448.97 / $3,129.00 / $7,198.00