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Arkansas rates for HCPCS 49426

Revision of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,288.25 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $707.95 / $1,047.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $4,897.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $933.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $512.86 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $870.96 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $2,290.87 / $7,244.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $758.58 / $1,202.26