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New Hampshire rates for HCPCS 49428

Ligation Peritoneal-Venous Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,520.88 / $2,331.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.94 / $505.26 / $557.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,476.90 / $9,132.04 / $17,364.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.12 / $757.21 / $1,211.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.28 / $799.36 / $1,296.53
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.24 / $835.91 / $1,491.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.00 / $3,884.00 / $8,611.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.24 / $757.60 / $1,558.80
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.17 / $374.19 / $476.24