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Rhode Island rates for HCPCS 49428

Ligation Peritoneal-Venous Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.29 / $505.26 / $689.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.26 / $573.37 / $815.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.00 / $680.00 / $680.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.72 / $687.33 / $1,008.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,395.00 / $2,384.00 / $5,510.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.91 / $534.53 / $915.53