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Idaho rates for HCPCS 49428

Ligation of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $467.74 / $1,122.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,230.27 / $1,778.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $812.83 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $645.65 / $891.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $645.65 / $1,230.27
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $741.31 / $870.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $831.76 / $912.01
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $380.19 / $851.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $6,165.95 / $7,762.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $630.96 / $933.25