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Indiana rates for HCPCS 49428

Ligation of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $2,344.23 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $467.74 / $831.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $14,125.38 / $19,054.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $288.40 / $478.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $426.58 / $478.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $645.65 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $524.81 / $851.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $3,715.35 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $478.63 / $724.44