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Maryland rates for HCPCS 49084

Peritoneal Lavage W/Wo Imaging Guidance

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.00 / $530.82 / $891.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.55 / $132.31 / $218.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.00 / $453.00 / $1,330.00