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Indiana rates for HCPCS 49426

Revis Peritoneal-Venous Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.17 / $1,386.00 / $7,212.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.44 / $671.69 / $907.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,234.00 / $5,126.00 / $13,758.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.25 / $772.90 / $1,066.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.71 / $774.42 / $893.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.71 / $685.07 / $893.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$538.00 / $763.69 / $2,258.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.84 / $808.27 / $1,315.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,029.00 / $7,830.00 / $11,284.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.98 / $714.35 / $1,232.40