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Iowa rates for HCPCS 49426

Revision of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,906.00 / $4,778.89 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.67 / $915.18 / $3,455.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $953.00 / $953.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.57 / $1,455.36 / $1,819.20
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.79 / $979.28 / $1,997.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$864.39 / $1,455.22 / $7,915.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.08 / $1,333.93 / $4,871.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,043.00 / $1,673.02 / $3,162.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.15 / $1,390.66 / $1,818.85
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
$1,770.00 / $6,588.00 / $10,320.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.87 / $1,003.44 / $2,041.56
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.74 / $1,306.00 / $1,536.40