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Idaho rates for HCPCS 49426

Revis Peritoneal-Venous Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.00 / $4,500.00 / $7,205.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.54 / $915.18 / $1,927.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.13 / $1,018.10 / $1,252.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.16 / $1,171.43 / $2,042.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,086.10 / $1,151.94 / $1,316.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $915.06 / $1,151.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,920.51 / $7,779.36 / $11,812.34
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,146.08 / $1,338.92 / $1,361.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,360.00 / $16,762.00 / $17,870.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.24 / $851.04 / $1,364.27