go back

Indiana rates for HCPCS 49084

Peritoneal lavage, including imaging guidance, when performed

Facilitymedian $4,467 · 10th–90th $933$8,3180%10%10th90th$4,467$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
$112.20 / $4,897.79 / $7,244.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $4,466.84 / $8,709.64
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $104.71 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $676.08 / $758.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $3,715.35 / $6,456.54