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New York rates for HCPCS 49426

Revision of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $3,715.35 / $9,120.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $724.44 / $1,659.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $5,888.44 / $12,302.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $537.03 / $1,230.27
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,698.24 / $6,165.95
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $954.99 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,412.54 / $5,754.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $933.25 / $2,454.71
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $851.14 / $2,511.89
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $954.99 / $1,513.56
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $616.60 / $616.60
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $851.14 / $1,412.54
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $891.25 / $1,737.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $4,897.79 / $11,220.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $724.44 / $1,698.24
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $794.33 / $2,398.83
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $794.33 / $1,698.24