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Wisconsin rates for HCPCS 49425

Insertion Peritoneal-Venous Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$828.06 / $2,755.07 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.27 / $828.06 / $1,992.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,979.00 / $6,787.00 / $11,418.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.12 / $1,686.19 / $4,348.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,941.01 / $2,268.23 / $3,479.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.38 / $2,410.17 / $3,086.83
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$703.85 / $959.43 / $1,509.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$722.19 / $1,008.86 / $4,377.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.59 / $1,636.87 / $5,666.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $687.05 / $1,699.83
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$703.85 / $959.43 / $1,509.95
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,420.80 / $1,894.87 / $3,122.79
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$889.21 / $7,241.84 / $7,241.84
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.95 / $3,420.85 / $5,666.96
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,515.69 / $2,515.69 / $2,515.69
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,471.69 / $3,768.98 / $3,768.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,976.00 / $3,827.00 / $5,471.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.62 / $1,498.33 / $3,121.81