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Louisiana rates for HCPCS 49084

Peritoneal Lavage W/Wo Imaging Guidance

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $1,520.00 / $3,685.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$721.06 / $1,405.51 / $2,031.29
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.13 / $77.13 / $94.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.52 / $525.00 / $815.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.00 / $1,429.00 / $4,010.00