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South Carolina rates for HCPCS 49428

Ligation of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $7,943.28 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $467.74 / $707.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $5,623.41 / $5,623.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $407.38 / $549.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $562.34 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $562.34 / $1,230.27
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $691.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $575.44 / $912.01
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $169.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $6,165.95 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $478.63 / $831.76