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Oklahoma rates for HCPCS 49428

Ligation Peritoneal-Venous Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.02 / $464.55 / $559.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.00 / $565.07 / $732.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.61 / $600.51 / $3,237.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.98 / $538.50 / $3,122.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.00 / $1,928.00 / $4,012.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.21 / $491.52 / $762.74