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Oregon rates for HCPCS 49428

Ligation Peritoneal-Venous Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.09 / $2,747.00 / $7,920.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.62 / $587.24 / $1,607.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,664.70 / $1,664.70 / $1,664.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.02 / $834.06 / $1,195.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.98 / $892.88 / $1,095.91
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.90 / $766.52 / $1,351.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.79 / $775.62 / $1,274.07
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.17 / $828.34 / $890.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.46 / $880.00 / $1,351.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.07 / $940.33 / $1,224.91
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,219.92 / $2,219.92 / $2,219.92
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.39 / $1,012.31 / $1,222.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,472.00 / $4,880.00 / $7,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.41 / $930.93 / $1,372.41