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Wisconsin rates for HCPCS 49427

Injection procedure (eg, contrast media) for evaluation of previously placed peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $79.43 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $42.66 / $87.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,584.89 / $1,584.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $72.44 / $190.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $112.20 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $93.33 / $158.49
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $58.88 / $3,090.30
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $83.18 / $144.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $63.10 / $1,445.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $81.28 / $501.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $83.18 / $141.25
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $1,288.25 / $1,288.25
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $354.81 / $501.19
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $165.96 / $204.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,584.89 / $1,949.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $61.66 / $151.36