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Vermont rates for HCPCS 49428

Ligation of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $489.78 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $691.83 / $1,698.24
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $602.56 / $1,096.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $588.84 / $1,047.13