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Tennessee rates for HCPCS 49428

Ligation of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,691.53 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $467.74 / $758.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,290.87 / $4,570.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $645.65 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $512.86 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $562.34 / $954.99
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $3,890.45 / $3,890.45
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $3,715.35 / $3,715.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,187.76 / $3,981.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $501.19 / $831.76