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Rhode Island rates for HCPCS 49426

Revis Peritoneal-Venous Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,090.73 / $2,778.87 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.59 / $649.49 / $907.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.60 / $894.94 / $1,170.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.00 / $593.00 / $3,131.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.83 / $1,075.29 / $1,572.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,838.00 / $4,086.00 / $9,622.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.48 / $833.54 / $1,428.79