go back

Alaska rates for HCPCS 49426

Revision of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,921.78 / $8,303.41 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.88 / $728.64 / $3,513.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.37 / $927.46 / $2,215.57
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.84 / $3,513.39 / $4,918.75
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,645.63 / $2,432.21 / $4,487.89
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,711.60 / $2,930.40 / $4,617.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.84 / $3,513.39 / $4,918.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.31 / $2,232.50 / $3,982.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,536.31 / $1,772.46 / $4,889.05