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Utah rates for HCPCS 49425

Insertion Peritoneal-Venous Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,004.06 / $3,064.00 / $4,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.89 / $959.08 / $2,042.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.05 / $1,016.92 / $1,484.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.28 / $582.63 / $751.05
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.33 / $1,195.76 / $1,581.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.94 / $896.55 / $1,368.84