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South Carolina rates for HCPCS 49426

Revis Peritoneal-Venous Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.79 / $4,673.00 / $9,870.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.85 / $788.54 / $1,057.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.00 / $5,192.10 / $10,202.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.04 / $752.67 / $1,315.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $763.69 / $2,221.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.82 / $826.00 / $1,558.72
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.88 / $792.22 / $1,344.34
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.00 / $849.21 / $1,897.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.00 / $607.28 / $992.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.00 / $12,269.00 / $19,591.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.54 / $771.22 / $1,598.83