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New Jersey rates for HCPCS 49428

Ligation of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $6,918.31 / $11,748.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $467.74 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $588.84 / $1,122.02
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $562.34 / $831.76
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $109.65 / $223.87
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $501.19 / $1,023.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $5,011.87 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $457.09 / $912.01