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New Mexico rates for HCPCS 49428

Ligation of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $676.08 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $467.74 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $588.84 / $812.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $630.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $537.03 / $912.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $616.60 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $3,090.30 / $5,011.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $602.56 / $891.25