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Indiana rates for HCPCS 49425

Insertion of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.41 / $1,386.00 / $7,212.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.18 / $778.10 / $1,026.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,600.00 / $11,226.46 / $15,429.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.35 / $974.10 / $1,315.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.09 / $901.02 / $1,039.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.09 / $831.71 / $1,039.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$538.00 / $538.00 / $889.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.01 / $956.31 / $1,491.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $3,817.00 / $5,402.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.78 / $827.09 / $1,519.46