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West Virginia rates for HCPCS 49402

Removal of peritoneal foreign body from peritoneal cavity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $870.96 / $1,584.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $10,000.00