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California rates for HCPCS 49426

Revision of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $6,456.54 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $724.44 / $2,951.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $6,165.95 / $13,489.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $831.76 / $1,548.82
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $3,235.94 / $8,317.64
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $870.96 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $1,995.26 / $4,365.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $812.83 / $1,548.82
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $707.95 / $954.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $724.44 / $1,380.38
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $28,840.32 / $28,840.32
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $5,754.40 / $5,754.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $977.24 / $977.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $851.14 / $1,479.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $812.83 / $1,698.24
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $2,137.96
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $758.58 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $9,549.93 / $20,892.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $707.95 / $1,348.96