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Virginia rates for HCPCS 49428

Ligation Peritoneal-Venous Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.67 / $4,771.00 / $9,539.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.22 / $487.67 / $596.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,385.00 / $10,311.04 / $14,433.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.93 / $508.08 / $711.41
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.35 / $557.10 / $1,086.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $526.00 / $925.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.76 / $553.57 / $964.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.40 / $508.00 / $757.30
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.52 / $554.17 / $816.17
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.00 / $620.00 / $997.27
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.63 / $536.12 / $1,008.57
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.63 / $536.12 / $1,008.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $2,521.00 / $5,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.87 / $523.17 / $868.80