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Minnesota rates for HCPCS 49428

Ligation Peritoneal-Venous Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.62 / $388.62 / $388.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.62 / $429.23 / $704.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,005.35 / $5,545.59 / $11,327.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.62 / $1,254.48 / $1,521.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$906.88 / $1,415.41 / $3,404.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.35 / $1,289.23 / $1,772.53
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$785.89 / $1,291.65 / $2,681.06
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.61 / $1,176.21 / $1,620.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.62 / $694.94 / $1,292.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.08 / $981.28 / $3,122.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,224.00 / $3,500.00 / $6,361.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.07 / $1,000.25 / $1,675.08