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Utah rates for HCPCS 49429

Removal of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $3,715.35 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $489.78 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $602.56 / $954.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,000.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $5,623.41 / $12,589.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $758.58 / $954.99
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $851.14 / $1,148.15
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $691.83 / $1,023.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,128.61 / $8,317.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $501.19 / $794.33