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New Mexico rates for HCPCS 49084

Peritoneal lavage, including imaging guidance, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $5,000.27 / $7,838.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.12 / $1,979.15 / $3,227.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.52 / $121.52 / $596.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.33 / $118.51 / $161.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.00 / $3,085.00 / $5,060.00