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Texas rates for HCPCS 49426

Revision of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$690.30 / $2,673.00 / $7,495.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.40 / $690.30 / $1,055.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,681.13 / $4,943.85 / $9,452.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.99 / $783.49 / $1,090.20
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.09 / $626.09 / $646.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,770.00 / $2,213.00 / $2,846.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.78 / $862.14 / $1,343.56
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,558.29 / $11,500.00 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,803.00 / $4,871.35 / $5,816.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.62 / $793.20 / $1,441.70
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.99 / $1,007.12 / $1,224.34
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $935.30 / $1,703.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.09 / $799.44 / $1,725.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.95 / $920.46 / $1,651.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,200.00 / $10,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.46 / $701.94 / $1,147.67
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.79 / $653.08 / $881.63