go back

Minnesota rates for HCPCS 49428

Ligation of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $467.74 / $831.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $6,309.57 / $14,454.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,071.52 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,479.11 / $3,548.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,148.15 / $1,778.28
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,445.44 / $2,818.38
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,023.29 / $1,621.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $616.60 / $1,318.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $831.76 / $3,090.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $2,630.27 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $776.25 / $1,445.44