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Massachusetts rates for HCPCS 49428

Ligation Peritoneal-Venous Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.26 / $2,747.00 / $4,806.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.62 / $504.80 / $689.21
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,640.00 / $4,689.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.81 / $820.74 / $3,054.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.35 / $468.55 / $468.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $680.00 / $748.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.09 / $753.45 / $1,491.96
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.26 / $635.69 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.50 / $613.48 / $901.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.53 / $1,046.20 / $1,292.35
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,376.00 / $4,755.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.48 / $851.44 / $3,054.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.00 / $2,338.00 / $4,952.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.01 / $668.17 / $1,379.61