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Mississippi rates for HCPCS 49426

Revis Peritoneal-Venous Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.19 / $1,303.03 / $1,898.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.87 / $795.25 / $1,898.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,790.37 / $1,790.37 / $1,790.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,113.00 / $1,113.00 / $1,721.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $1,525.25 / $3,975.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.41 / $973.40 / $1,368.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.00 / $2,717.00 / $7,885.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.52 / $784.64 / $1,707.39