go back

Nebraska rates for HCPCS 49084

Peritoneal lavage, including imaging guidance, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,318.31 / $5,463.36 / $13,841.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,252.94 / $3,266.13 / $5,731.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.68 / $165.69 / $245.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.68 / $243.50 / $906.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $3,726.00 / $7,934.00