go back

Wisconsin rates for HCPCS 49402

Removal Peritoneal Foreign Body From Cavity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$905.19 / $3,015.48 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,169.00 / $7,344.00 / $10,382.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,115.83 / $2,472.51 / $3,792.90
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$820.19 / $1,024.43 / $1,859.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$805.37 / $1,263.13 / $10,230.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$799.50 / $1,024.43 / $1,879.98
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,553.40 / $2,071.71 / $3,412.08
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$973.78 / $9,558.29 / $9,558.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,073.00 / $9,953.00 / $12,062.00