CPT 49084

Peritoneal Lavage W/Wo Imaging Guidance

CPT 49084 pays $95.86 in a non-facility setting and $95.86 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $84.58 in Wisconsin to $122.53 in Alaska, a 45% spread.

National non-facility rate

$95.86

Office and other outpatient settings

Facility rate
$95.86

Hospital and ASC settings

Highest state
$122.53

Alaska

Lowest state
$84.58

Wisconsin · 45% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $95.86
CPT 49084 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $95.86, national facility $95.86.
StateRate compared visuallyNon-facilityFacility
Alaska
$122.53$122.53
Florida
$110.46$110.46
Illinois
$109.57$109.57
New York
$106.25$106.25
District of Columbia
$103.85$103.85
New Jersey
$102.42$102.42
Connecticut
$101.57$101.57
Michigan
$101.18$101.18
West Virginia
$100.47$100.47
Maryland
$98.55$98.55
Georgia
$98.27$98.27
New Mexico
$97.67$97.67
Massachusetts
$97.21$97.21
Pennsylvania
$97.19$97.19
Washington
$96.82$96.82
Rhode Island
$95.95$95.95
Montana
$95.83$95.83
Puerto Rico
$95.80$95.80
Virgin Islands
$95.80$95.80
Louisiana
$95.25$95.25
Texas
$94.89$94.89
Ohio
$94.65$94.65
New Hampshire
$94.57$94.57
Delaware
$94.45$94.45
Missouri
$94.35$94.35
Colorado
$94.26$94.26
California
$93.98$93.98
Utah
$93.37$93.37
Nevada
$93.31$93.31
Arizona
$93.17$93.17
Oregon
$92.96$92.96
Kentucky
$92.85$92.85
South Carolina
$92.39$92.39
Wyoming
$91.87$91.87
Hawaii
$91.50$91.50
Virginia
$91.08$91.08
Oklahoma
$90.79$90.79
Mississippi
$89.71$89.71
Maine
$89.44$89.44
North Carolina
$89.28$89.28
Vermont
$88.12$88.12
Tennessee
$87.35$87.35
Alabama
$87.27$87.27
Indiana
$86.84$86.84
Kansas
$86.76$86.76
North Dakota
$86.73$86.73
Idaho
$86.53$86.53
Arkansas
$86.24$86.24
South Dakota
$85.66$85.66
Minnesota
$85.49$85.49
Iowa
$85.29$85.29
Nebraska
$85.12$85.12
Wisconsin
$84.58$84.58

Billed by 1 specialties

Commercial rates for 49084

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates