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Maine rates for HCPCS 49428

Ligation of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $489.78 / $870.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $13,489.63 / $18,197.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $630.96 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $616.60 / $1,047.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $741.31 / $1,288.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $588.84 / $1,412.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $602.56 / $954.99