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Alabama rates for HCPCS 49084

Peritoneal Lavage W/Wo Imaging Guidance

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.00 / $1,223.00 / $2,250.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$983.94 / $1,194.06 / $1,606.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $1,738.00 / $3,360.00