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Nebraska rates for HCPCS 49425

Insertion of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,318.31 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.91 / $704.80 / $1,287.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,416.80 / $9,302.56 / $16,325.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.04 / $1,140.43 / $1,520.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$955.79 / $1,618.39 / $2,155.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.91 / $1,171.02 / $1,686.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.22 / $1,547.96 / $5,666.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,227.00 / $1,618.39 / $2,155.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,123.00 / $1,618.39 / $2,128.98
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,184.90 / $1,970.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $3,726.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.22 / $1,580.13 / $1,880.14