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West Virginia rates for HCPCS 49425

Insertion of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $1,584.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $776.25 / $1,288.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $1,023.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $1,318.26 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,000.00 / $4,466.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $1,230.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $812.83 / $1,230.27