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North Carolina rates for HCPCS 49428

Ligation of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $1,288.25 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $489.78 / $1,148.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $575.44 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $575.44 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $602.56 / $1,071.52
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $691.83 / $691.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $524.81 / $831.76
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $169.82
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $812.83 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $1,819.70 / $5,888.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $478.63 / $851.14
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $3,890.45 / $3,890.45
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $3,715.35