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Missouri rates for HCPCS 49428

Ligation of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $4,897.79 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $478.63 / $1,047.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,786.30 / $10,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $489.78 / $812.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $512.86 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $562.34 / $912.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $602.56 / $1,819.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $645.65 / $3,090.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,202.26 / $2,884.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $537.03 / $870.96