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Kansas rates for HCPCS 49084

Peritoneal lavage, including imaging guidance, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,807.00 / $4,747.00 / $10,439.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.39 / $903.86 / $1,079.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.00 / $596.00 / $621.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.22 / $142.18 / $1,450.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$816.00 / $2,081.00 / $3,918.00