go back

Vermont rates for HCPCS 49426

Revis Peritoneal-Venous Shunt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.58 / $671.45 / $3,455.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.83 / $1,094.01 / $2,347.11
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.64 / $1,038.60 / $2,347.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.89 / $931.49 / $2,880.81