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Kentucky rates for HCPCS 49084

Peritoneal lavage, including imaging guidance, when performed

Facilitymedian $3,388 · 10th–90th $132–$10,7150%10%10th90th$3,388$50.0$200.0$1.0K$5.0K

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
$131.83 / $2,290.87 / $8,511.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $10,715.19 / $11,220.18
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $114.82 / $162.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $181.97 / $181.97
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $1,445.44 / $4,168.69