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Illinois rates for HCPCS 49426

Revision of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,187.76 / $5,888.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $724.44 / $1,513.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $5,128.61 / $12,022.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $977.24 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $1,288.25 / $2,884.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $891.25 / $1,445.44
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,288.25 / $3,019.95
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $870.96 / $977.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $4,365.16 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $812.83 / $1,348.96