go back

Montana rates for HCPCS 49428

Ligation of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $467.74 / $1,202.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $588.84 / $1,258.93
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $758.58 / $831.76
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $758.58 / $831.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $588.84 / $1,047.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $691.83 / $1,122.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $707.95 / $870.96