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South Carolina rates for HCPCS 49425

Insertion of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $7,244.36 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $812.83 / $1,380.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $6,025.60 / $6,025.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $933.25 / $1,318.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $562.34 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $954.99 / $2,137.96
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,202.26
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,023.29 / $1,584.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,047.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $6,165.95 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $812.83 / $1,412.54