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Virginia rates for HCPCS 49421

Insertion of tunneled intraperitoneal catheter for dialysis, open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,819.70 / $3,235.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $323.59 / $616.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $234.42 / $416.87
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $524.81 / $602.56
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $346.74 / $616.60
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $331.13 / $489.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $6,309.57 / $21,877.62