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Wisconsin rates for HCPCS 49402

Removal of peritoneal foreign body from peritoneal cavity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,698.24 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $7,943.28 / $12,589.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,454.71 / $3,981.07
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,096.48 / $3,548.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,148.15 / $10,471.29
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,862.09 / $2,884.03
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $6,456.54 / $9,549.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,232.93 / $12,589.25