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Massachusetts rates for HCPCS 49428

Ligation of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $3,388.44 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $489.78 / $1,174.90
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $1,348.96 / $4,677.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $645.65 / $3,019.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $478.63 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $676.08 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $616.60 / $1,174.90
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $645.65 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $588.84 / $891.25
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $3,162.28 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $741.31 / $1,122.02
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $1,348.96 / $4,677.35
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $630.96 / $3,019.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $2,344.23 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $616.60 / $1,230.27