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Washington rates for HCPCS 49426

Revision of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$915.18 / $3,810.00 / $18,711.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.59 / $872.99 / $1,721.68
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,193.67 / $9,558.29 / $16,394.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.62 / $1,616.44 / $5,954.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.25 / $761.81 / $3,991.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.96 / $1,181.09 / $2,018.65
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.37 / $1,380.09 / $3,651.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.66 / $1,272.89 / $2,689.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.67 / $758.39 / $1,534.97
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$892.44 / $1,212.06 / $1,355.41
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$909.62 / $1,460.91 / $2,583.64
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.84 / $1,530.17 / $1,846.90
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,718.33 / $9,804.29 / $18,754.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,074.28 / $1,329.92 / $1,737.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $2,759.00 / $11,941.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.09 / $1,167.00 / $1,941.62
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.79 / $712.01 / $712.01