go back

Washington, DC rates for HCPCS 49084

Peritoneal lavage, including imaging guidance, when performed

Facilitymedian $4,074 · 10th–90th $123$7,7620%20%10th90th$4,074Professionalmedian $105 · 10th–90th $98$2340%20%40%10th90th$105$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $4,073.80 / $7,762.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $104.71 / $234.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $3,981.07 / $25,118.86