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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
$872.54 / $1,338.77 / $1,600.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$911.65 / $1,036.78 / $1,129.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$973.78 / $973.78 / $973.78