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Louisiana rates for HCPCS 49428

Ligation of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,691.53 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $478.63 / $831.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $602.56 / $741.31
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $398.11 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $676.08 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $575.44 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $1,174.90 / $3,388.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $489.78 / $812.83