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Michigan rates for HCPCS 49426

Revis Peritoneal-Venous Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$866.93 / $2,877.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.59 / $729.41 / $866.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,271.76 / $3,358.81 / $4,502.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.27 / $677.71 / $1,127.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.54 / $824.99 / $1,523.92
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.53 / $2,877.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.53 / $739.79 / $1,076.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.50 / $565.81 / $859.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,500.00 / $7,780.00 / $8,911.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.39 / $850.14 / $1,123.09