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Arizona rates for HCPCS 33764

Shunt; central, with prosthetic graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,311.31 / $1,466.05 / $6,732.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,805.25 / $6,640.00 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$972.29 / $1,296.39 / $1,620.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,216.03 / $1,492.43 / $2,275.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.54 / $1,860.66 / $4,435.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,184.56 / $1,446.65 / $12,784.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $3,269.00 / $6,416.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,171.22 / $1,391.49 / $2,253.25