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Georgia rates for HCPCS 49426

Revis Peritoneal-Venous Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,012.37 / $4,368.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.44 / $739.52 / $1,522.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.89 / $2,098.00 / $6,065.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.95 / $1,024.93 / $1,769.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$952.59 / $952.59 / $952.59
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.95 / $626.95 / $626.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.00 / $731.00 / $2,128.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.46 / $975.20 / $1,554.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.52 / $869.08 / $1,967.88
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,109.50 / $1,703.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$651.00 / $4,666.00 / $8,554.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.78 / $881.97 / $1,488.79