go back

Washington, DC rates for HCPCS 49426

Revision of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $4,073.80 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $724.44 / $1,174.90
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $776.25 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $741.31 / $1,905.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $707.95 / $1,548.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $10,000.00 / $26,915.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $724.44 / $1,659.59