go back

Montana rates for HCPCS 49429

Rmvl Peritoneal-Venous Shunt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.95 / $450.15 / $2,367.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$722.98 / $722.98 / $722.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.28 / $722.98 / $1,299.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.65 / $648.41 / $832.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.13 / $737.09 / $1,228.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.91 / $767.37 / $964.32