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Minnesota rates for HCPCS 49426

Revis Peritoneal-Venous Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.40 / $607.40 / $2,525.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.86 / $649.09 / $1,098.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,862.96 / $6,273.82 / $12,790.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,154.90 / $1,956.69 / $2,373.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,418.10 / $2,213.29 / $5,324.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,118.00 / $2,016.98 / $2,773.11
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,228.91 / $2,019.77 / $4,192.41
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,118.00 / $1,840.17 / $2,535.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$653.08 / $1,117.66 / $2,047.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.81 / $1,520.02 / $4,871.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $5,499.00 / $9,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.94 / $1,376.50 / $2,594.71