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West Virginia rates for HCPCS 49084

Peritoneal lavage, including imaging guidance, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.68 / $169.63 / $1,600.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.59 / $131.38 / $143.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.52 / $121.52 / $121.52