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Wyoming rates for HCPCS 49428

Ligation Peritoneal-Venous Shunt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.26 / $394.29 / $587.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,125.00 / $1,350.00 / $2,089.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.61 / $748.06 / $1,122.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $5,606.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.52 / $818.38 / $1,497.61