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Louisiana rates for HCPCS 49426

Revision of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,659.59 / $4,168.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $724.44 / $1,174.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $5,370.32 / $7,585.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $933.25 / $1,096.48
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $630.96 / $1,621.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $812.83 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $851.14 / $1,513.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $3,162.28 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $758.58 / $1,258.93