go back

Georgia rates for HCPCS 49084

Peritoneal Lavage W/Wo Imaging Guidance

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.16 / $4,467.00 / $6,915.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.00 / $1,729.39 / $3,784.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.28 / $162.28 / $162.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.00 / $575.79 / $788.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.07 / $137.88 / $631.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.00 / $2,307.00 / $5,272.00