go back

Virginia rates for HCPCS 49426

Revision of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.54 / $3,645.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.67 / $697.02 / $900.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.78 / $795.04 / $1,123.85
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.15 / $716.09 / $1,336.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $763.69 / $1,896.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.10 / $804.00 / $1,440.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.70 / $760.98 / $1,054.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$670.26 / $838.91 / $1,275.55
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.00 / $881.00 / $1,498.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.60 / $794.62 / $1,573.89
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.60 / $794.62 / $1,573.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,236.00 / $8,246.00 / $17,187.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.17 / $769.45 / $1,238.75