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Georgia rates for HCPCS 49084

Peritoneal lavage, including imaging guidance, when performed

Facilitymedian $3,388 · 10th–90th $759–$7,4130%5%10th90th$3,388Professionalmedian $129 · 10th–90th $100–$3980%20%10th90th$129$100.0$200.0$500.0$1.0K$2.0K$5.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $4,570.88 / $7,413.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $1,819.70 / $3,981.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $616.60 / $794.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $128.82 / $398.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $2,344.23 / $4,786.30