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Arizona rates for HCPCS 49426

Revision of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,582.00 / $3,008.00 / $6,483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.59 / $678.37 / $999.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.79 / $2,064.02 / $3,616.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.29 / $785.47 / $913.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.00 / $1,894.75 / $3,104.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.27 / $745.48 / $1,343.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.86 / $767.81 / $4,635.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.70 / $737.04 / $4,871.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $4,398.00 / $7,217.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.54 / $700.20 / $1,285.92