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Ohio rates for HCPCS 49084

Peritoneal lavage, including imaging guidance, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.34 / $3,278.00 / $10,347.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.00 / $1,769.00 / $3,943.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.54 / $123.05 / $152.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.52 / $581.00 / $1,024.26
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.00 / $581.00 / $763.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.00 / $2,499.00 / $5,235.00