go back

South Carolina rates for HCPCS 49425

Insertion Peritoneal-Venous Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$920.12 / $4,673.00 / $9,870.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.94 / $916.55 / $1,099.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,690.44 / $5,690.44 / $5,690.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.06 / $1,003.00 / $1,693.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $535.00 / $615.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.36 / $977.59 / $1,829.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$778.47 / $935.68 / $1,564.20
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.00 / $1,036.29 / $1,813.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.35 / $730.82 / $1,208.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.00 / $6,172.00 / $8,667.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.09 / $860.78 / $1,713.09