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Illinois rates for HCPCS 49421

Insertion of tunneled intraperitoneal catheter for dialysis, open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,737.80 / $7,762.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,454.71 / $5,370.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $302.00 / $3,311.31
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $562.34 / $1,862.09
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $5,888.44 / $9,772.37