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Missouri rates for HCPCS 49428

Ligation Peritoneal-Venous Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.00 / $4,261.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.46 / $452.30 / $660.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,234.00 / $4,319.00 / $10,043.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.99 / $506.92 / $808.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.00 / $2,530.00 / $2,530.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.95 / $579.65 / $963.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.46 / $583.76 / $1,509.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.31 / $778.84 / $3,122.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.00 / $2,332.00 / $3,041.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.26 / $639.59 / $1,096.81