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Maine rates for HCPCS 49428

Ligation Peritoneal-Venous Shunt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.55 / $516.16 / $543.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,224.20 / $16,010.56 / $18,053.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.28 / $584.01 / $890.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.64 / $490.64 / $699.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.22 / $669.30 / $941.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.24 / $622.37 / $973.91
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.55 / $516.16 / $1,010.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.36 / $622.42 / $843.17