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Missouri rates for HCPCS 49426

Revision of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $3,235.94 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $724.44 / $1,737.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,677.35 / $8,912.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $724.44 / $1,288.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $776.25 / $1,096.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $831.76 / $1,348.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $1,023.29 / $6,918.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $954.99 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,019.95 / $5,370.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $831.76 / $1,348.96