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Wyoming rates for HCPCS 49425

Insertion Peritoneal-Venous Shunt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.38 / $683.27 / $959.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,043.00 / $2,452.00 / $3,792.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.49 / $1,300.70 / $1,692.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $5,606.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.27 / $1,314.50 / $2,919.83