go back

Mississippi rates for HCPCS 49084

Peritoneal lavage, including imaging guidance, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $1,288.25 / $1,995.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $478.63 / $851.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $1,479.11 / $3,090.30