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New Jersey rates for HCPCS 49426

Revision of peritoneal-venous shunt

Facilitymedian $5,888 · 10th–90th $4,365–$10,7150%10%10th90th$5,888Professionalmedian $724 · 10th–90th $575–$1,5140%10%20%10th90th$724$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $5,888.44 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $724.44 / $1,513.56
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,148.15 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $794.33 / $1,621.81
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $933.25 / $1,348.96
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $11,748.98 / $17,782.79
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $758.58 / $1,479.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $6,918.31 / $11,220.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $741.31 / $1,380.38