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Maine rates for HCPCS 49426

Revision of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $691.83 / $1,348.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $977.24 / $1,621.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $616.60 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $870.96 / $1,548.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,122.02 / $1,995.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $912.01 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $891.25 / $1,479.11