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Oklahoma 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 / $3,612.00 / $8,400.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,599.68 / $2,523.16 / $4,001.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.10 / $144.29 / $2,974.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.00 / $1,928.00 / $4,012.00