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Alabama rates for HCPCS 49426

Revis Peritoneal-Venous Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.00 / $1,268.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.44 / $739.52 / $1,353.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,958.18 / $6,017.00 / $8,094.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.16 / $692.00 / $873.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.33 / $754.75 / $2,153.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,092.00 / $3,188.00 / $5,180.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.41 / $680.88 / $1,113.49