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Revision of a Peritoneal-to-Vein Fluid Shunt

Maryland rates for HCPCS 49426

This surgery repairs or adjusts a previously placed tube that drains excess fluid from the abdominal cavity into a vein, used to treat conditions such as severe fluid buildup from liver disease or cancer. It is done when the shunt becomes blocked, moves out of place, or otherwise stops working properly.

Rates data updated July 2026.

How much does Revision of a Peritoneal-to-Vein Fluid Shunt cost?

$692

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $692 for this service. Most negotiated rates run $631 to $794.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,549 · 10th to 90th $851 to $2,951Professionalmedian $692 · 10th to 90th $575 to $1,023
$500$1K$2K$5Kfacility $1,549professional $692

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$691.83
Typical High
$912.01
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$660.69
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,778.28
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$758.58
Typical High
$1,318.26
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$741.31
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,445.44
Typical High
$3,235.94
United
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$758.58
Typical High
$1,380.38
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$794.33
Typical High
$954.99

Where Maryland sits

The same service costs 2.7 times more in California than in Vermont. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maryland· 50th of 51

$692

CA $1,820VT $676

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.