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Utah rates for HCPCS 49428

Ligation Peritoneal-Venous Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$576.23 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.97 / $576.23 / $1,236.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.65 / $595.04 / $832.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.81 / $318.71 / $417.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.39 / $816.15 / $1,020.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.00 / $544.80 / $905.77