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Kentucky rates for HCPCS 49084

Peritoneal lavage, including imaging guidance, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.66 / $787.00 / $8,229.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,013.00 / $8,584.00 / $11,253.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.86 / $139.80 / $161.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.52 / $121.52 / $121.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.00 / $794.00 / $5,301.00