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Idaho rates for HCPCS 49426

Revision of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $724.44 / $1,698.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $4,265.80 / $8,912.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,258.93 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $977.24 / $1,318.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,000.00 / $1,949.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,148.15 / $1,348.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $7,762.47 / $12,302.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,258.93 / $1,412.54
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $645.65 / $7,244.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $16,982.44 / $18,197.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $891.25 / $1,348.96