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Iowa rates for HCPCS 49084

Peritoneal Lavage W/Wo Imaging Guidance

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,906.00 / $4,778.89 / $7,119.04
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.86 / $157.25 / $369.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.60 / $244.35 / $2,855.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.68 / $317.33 / $916.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,770.00 / $4,663.00 / $7,305.00