go back

Arkansas rates for HCPCS 49084

Peritoneal Lavage W/Wo Imaging Guidance

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.61 / $1,305.00 / $3,804.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$839.58 / $839.58 / $957.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$471.20 / $515.00 / $561.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $1,106.00 / $2,539.00