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Arkansas rates for HCPCS 33764

Shunt Central W/Prosthetic Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.00 / $1,758.52 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.59 / $1,583.86 / $1,884.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,281.85 / $1,696.58 / $1,696.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,571.52 / $2,277.92 / $2,735.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,056.00 / $2,558.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.32 / $1,773.58 / $2,675.03