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North Dakota rates for HCPCS 49426

Revision of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.54 / $654.54 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.40 / $654.54 / $866.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.89 / $1,471.93 / $1,725.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.42 / $1,306.49 / $1,970.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.54 / $864.39 / $1,963.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.44 / $1,122.71 / $4,871.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,980.00 / $1,980.00 / $1,980.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.44 / $1,089.19 / $1,682.83