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Washington, DC rates for HCPCS 49428

Ligation of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $2,137.96 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $467.74 / $707.95
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $467.74 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $524.81 / $1,202.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $457.09 / $977.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $2,398.83 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $478.63 / $1,071.52