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Connecticut rates for HCPCS 49084

Peritoneal lavage, including imaging guidance, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $4,897.79 / $8,511.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,162.28 / $11,748.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $794.33 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $5,248.07 / $8,912.51