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Mississippi rates for HCPCS 49084

Peritoneal Lavage W/Wo Imaging Guidance

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.60 / $1,250.00 / $1,831.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516.26 / $516.26 / $516.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.00 / $455.62 / $850.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.00 / $1,305.00 / $4,939.00