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Rhode Island rates for HCPCS 49428

Ligation of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $3,981.07 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $489.78 / $912.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $575.44 / $851.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $616.60 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $2,398.83 / $5,495.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $524.81 / $954.99