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Pennsylvania rates for HCPCS 49084

Peritoneal lavage, including imaging guidance, when performed

Facilitymedian $3,802 · 10th–90th $851–$8,3180%10%10th90th$3,802$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $3,981.07 / $8,317.64
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,570.40 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $724.44 / $1,412.54
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $691.83 / $851.14
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $2,570.40 / $8,317.64
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $109.65
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $104.71 / $323.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $2,041.74 / $3,890.45