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Colorado rates for HCPCS 49084

Peritoneal lavage, including imaging guidance, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,471.00 / $3,133.00 / $9,872.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,974.00 / $2,866.00 / $7,022.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.52 / $600.00 / $1,652.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.35 / $134.24 / $189.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.91 / $155.00 / $227.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,330.00 / $3,344.00 / $7,016.00