go back

Wisconsin rates for HCPCS 49426

Revision of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,318.26 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $707.95 / $1,318.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $7,943.28 / $12,589.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,230.27 / $3,162.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,949.84 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,412.54 / $2,691.53
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $851.14 / $3,467.37
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,412.54 / $2,041.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $891.25 / $9,772.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,096.48 / $4,897.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,513.56 / $2,344.23
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $9,549.93 / $9,549.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $3,235.94 / $4,786.30
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,344.23 / $2,344.23
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,344.23 / $3,235.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,232.93 / $12,589.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $870.96 / $2,398.83