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Idaho rates for HCPCS 49425

Insertion Peritoneal-Venous Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.00 / $4,500.00 / $7,205.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.54 / $959.08 / $2,042.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.26 / $1,113.16 / $1,342.34
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.61 / $1,302.89 / $2,164.98
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,263.84 / $1,340.45 / $1,531.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,064.68 / $1,339.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,333.60 / $1,533.63 / $1,568.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,450.00 / $6,124.00 / $7,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.12 / $1,018.56 / $1,534.76