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Arkansas rates for HCPCS 49426

Revis Peritoneal-Venous Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.25 / $1,277.00 / $3,804.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.58 / $735.25 / $877.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,602.26 / $3,602.26 / $4,106.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.47 / $927.09 / $1,030.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $515.00 / $2,743.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.37 / $912.59 / $1,174.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $2,075.00 / $5,626.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.12 / $831.84 / $1,342.49