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Illinois rates for HCPCS 49425

Insertion Peritoneal-Venous Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.17 / $1,731.00 / $5,389.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.69 / $828.06 / $1,358.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,224.72 / $9,209.20 / $18,441.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.07 / $1,146.78 / $1,417.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $785.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.61 / $1,140.56 / $1,666.97
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.80 / $1,326.88 / $3,268.54
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.17 / $1,014.68 / $1,140.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,289.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$815.00 / $2,588.00 / $4,780.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.08 / $1,023.65 / $1,651.48