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Montana rates for HCPCS 49425

Insertion of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.51 / $708.54 / $3,726.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,237.73 / $1,237.73 / $1,237.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.05 / $1,212.26 / $2,061.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$763.75 / $1,004.49 / $1,376.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.48 / $1,237.73 / $1,984.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.55 / $1,223.66 / $1,783.65