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Michigan rates for HCPCS 49425

Insertion of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $812.83 / $1,348.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,174.90 / $1,174.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $1,174.90 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,000.00 / $2,137.96
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $2,884.03 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $851.14 / $1,148.15
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $870.96 / $1,659.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,698.24 / $5,623.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $912.01 / $1,288.25