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Wyoming rates for HCPCS 49426

Revision of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.59 / $613.76 / $915.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,755.00 / $2,106.00 / $3,259.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.83 / $1,118.21 / $1,481.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,200.00 / $4,200.00 / $14,634.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.16 / $1,205.90 / $2,453.88