go back

Maryland rates for HCPCS 49428

Ligation of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $467.74 / $851.14
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $467.74 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $602.56 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $524.81 / $891.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $467.74 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $524.81 / $1,318.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $489.78 / $870.96
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $537.03 / $616.60