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West Virginia rates for HCPCS 49426

Revision of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.10 / $1,046.80 / $1,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.41 / $685.10 / $824.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.50 / $810.67 / $883.24
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.67 / $785.10 / $785.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$763.69 / $763.69 / $763.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.24 / $887.47 / $1,732.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.39 / $760.30 / $1,487.53