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Tying Off An Abdominal Fluid Shunt

West Virginia rates for HCPCS 49428

Ties shut a tube that was previously placed to carry fluid from the abdomen into a vein, so that nothing flows through it any more. The tube itself stays where it is; only the flow is stopped.

Rates data updated July 2026.

How much does Tying Off An Abdominal Fluid Shunt cost?

$437

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $437 for this service. The price depends on where it is billed: about $437 from a physician practice, and about $437 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$437$407 to $513
FacilityA hospital or hospital-owned outpatient department$437$437 to $724

How much rates vary

Facilitymedian $437 · 10th to 90th $437 to $1,413Professionalmedian $437 · 10th to 90th $389 to $617
$50$100$200$500$1K$2Kfacility $437professional $437

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$436.52
Typical High
$562.34
CareSource
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$562.34
CareSource
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$724.44
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$602.56
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$645.65
Typical High
$2,511.89
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$467.74
Typical High
$724.44

Where West Virginia sits

The same service costs 2.6 times more in California than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

West Virginia· 50th of 51

$437

CA $1,122KY $427

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.