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South Carolina rates for HCPCS 49084

Peritoneal Lavage W/Wo Imaging Guidance

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.25 / $4,673.00 / $9,870.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.00 / $1,045.50 / $2,119.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $569.33 / $663.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.31 / $132.56 / $215.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.00 / $6,172.00 / $8,667.00