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Arizona rates for HCPCS 49428

Ligation of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $3,890.45 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $467.74 / $1,174.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $4,365.16 / $7,943.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $562.34 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $512.86 / $891.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $512.86 / $2,454.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $549.54 / $3,090.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,862.09 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $457.09 / $794.33