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Wisconsin rates for HCPCS 49425

Insertion of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,548.82 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $812.83 / $1,513.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $7,943.28 / $13,182.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,412.54 / $3,388.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $2,290.87 / $3,630.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,621.81 / $3,162.28
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $977.24 / $3,548.13
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,621.81 / $2,344.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $977.24 / $5,128.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,258.93 / $5,623.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,737.80 / $2,691.53
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $7,079.46 / $7,079.46
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $3,388.44 / $5,495.41
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,754.23 / $3,801.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $3,630.78 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,000.00 / $2,630.27