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North Dakota rates for HCPCS 49428

Ligation Peritoneal-Venous Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.78 / $422.78 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.62 / $422.78 / $557.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.07 / $943.92 / $1,106.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.56 / $845.35 / $1,259.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.97 / $549.61 / $889.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.45 / $797.96 / $3,122.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.00 / $681.00 / $681.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.67 / $754.81 / $1,086.39