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South Carolina rates for HCPCS 49428

Ligation Peritoneal-Venous Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.76 / $1,151.25 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.94 / $507.76 / $678.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,378.35 / $5,378.35 / $5,378.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.00 / $399.30 / $521.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $535.00 / $570.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.29 / $564.78 / $1,061.71
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.42 / $516.87 / $864.30
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.81 / $496.00 / $1,123.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.92 / $420.31 / $673.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.00 / $6,172.00 / $8,667.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.21 / $507.23 / $996.33