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North Dakota rates for HCPCS 49084

Peritoneal lavage, including imaging guidance, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.05 / $106.05 / $8,500.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.05 / $140.04 / $309.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.00 / $681.00 / $681.00