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West Virginia rates for HCPCS 49428

Ligation of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $457.09 / $758.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $562.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $741.31 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $588.84 / $2,187.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $1,230.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $478.63 / $724.44