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Arizona rates for HCPCS 49428

Ligation Peritoneal-Venous Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.29 / $452.30 / $642.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,660.00 / $6,198.03 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.57 / $503.50 / $585.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.77 / $512.51 / $939.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.30 / $492.32 / $2,017.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.91 / $495.00 / $3,122.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$966.00 / $2,517.00 / $4,486.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.00 / $460.80 / $832.55