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Rhode Island rates for HCPCS 49425

Insertion Peritoneal-Venous Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,090.73 / $2,778.87 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.27 / $722.19 / $1,068.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.20 / $1,041.10 / $1,421.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.00 / $680.00 / $680.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.54 / $1,132.88 / $1,829.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,395.00 / $2,384.00 / $5,510.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.98 / $946.24 / $1,577.78