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Massachusetts rates for HCPCS 49426

Revision of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.58 / $2,618.00 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.86 / $668.30 / $907.48
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.63 / $4,983.00 / $16,394.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.60 / $1,274.15 / $4,803.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.88 / $2,140.21 / $2,140.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.00 / $652.29 / $3,751.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.10 / $1,099.98 / $2,328.88
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$506.00 / $1,419.52 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.35 / $958.26 / $1,407.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.54 / $1,645.41 / $2,076.01
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $5,572.00 / $16,394.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.25 / $1,317.34 / $4,803.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $3,245.00 / $7,608.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.81 / $989.84 / $2,273.01