go back

Michigan rates for HCPCS 49425

Insertion Peritoneal-Venous Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.86 / $2,877.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.18 / $860.90 / $1,008.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,642.64 / $3,907.15 / $5,237.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.48 / $766.49 / $1,311.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.65 / $935.51 / $1,798.46
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.20 / $2,877.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.73 / $861.86 / $1,305.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.27 / $688.90 / $1,030.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.00 / $4,857.00 / $6,036.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.92 / $996.33 / $1,239.21