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North Carolina rates for HCPCS 49084

Peritoneal lavage, including imaging guidance, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.88 / $1,181.00 / $7,278.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.27 / $366.60 / $622.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.44 / $585.73 / $975.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.88 / $132.63 / $185.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.00 / $650.00 / $4,824.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $498.55 / $2,855.25