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Oklahoma rates for HCPCS 49426

Revision of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,612.00 / $8,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.59 / $723.59 / $872.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,784.82 / $7,547.05 / $11,968.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.79 / $831.98 / $1,037.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.85 / $893.95 / $5,849.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.65 / $797.12 / $4,871.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.00 / $4,054.00 / $7,077.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.54 / $707.08 / $1,116.93