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Illinois rates for HCPCS 49428

Ligation of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $3,090.30 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $467.74 / $912.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $5,128.61 / $9,772.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $588.84 / $977.24
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $831.76 / $2,137.96
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $562.34 / $630.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $616.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $2,137.96 / $4,570.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $562.34 / $912.01