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Nebraska rates for HCPCS 49426

Revision of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $5,011.87 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $676.08 / $1,258.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $8,317.64 / $16,218.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $1,000.00 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $1,174.90 / $2,089.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $954.99 / $5,370.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,258.93 / $4,897.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,445.44 / $2,089.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,412.54 / $2,089.30
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $1,023.29 / $1,698.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $5,495.41 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $977.24 / $1,621.81