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New Jersey rates for HCPCS 49084

Peritoneal Lavage W/Wo Imaging Guidance

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.40 / $4,558.00 / $9,784.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,900.21 / $2,195.32 / $2,591.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,204.00 / $5,225.00 / $10,536.00