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Maine rates for HCPCS 49425

Insertion Peritoneal-Venous Shunt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.56 / $859.96 / $945.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,224.20 / $16,010.56 / $18,053.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.38 / $1,031.07 / $1,616.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $889.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.78 / $1,014.09 / $1,527.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.87 / $1,129.33 / $1,767.21
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.56 / $859.96 / $1,836.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.94 / $1,027.96 / $1,613.09