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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
$1,110.00 / $3,214.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.86 / $704.60 / $997.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $4,050.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.00 / $757.65 / $1,260.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,213.00 / $2,213.00 / $2,213.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.03 / $864.51 / $1,452.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.86 / $989.96 / $4,553.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.77 / $1,126.19 / $4,871.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,829.00 / $3,700.00 / $6,653.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.75 / $882.45 / $1,581.41