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California rates for HCPCS 33764

Shunt Central W/Prosthetic Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,311.31 / $9,639.00 / $20,509.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.33 / $1,311.31 / $6,732.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,738.00 / $12,001.00 / $23,933.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,694.70 / $2,308.39 / $4,364.81
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.50 / $98.70 / $13,719.51
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.14 / $1,501.68 / $3,303.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.13 / $1,586.07 / $3,793.10
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.89 / $1,384.45 / $1,799.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,233.86 / $1,601.80 / $2,904.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $19,413.12 / $24,012.64
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,784.00 / $12,784.00 / $12,784.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,313.86 / $1,730.56 / $2,519.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,310.09 / $1,586.07 / $3,648.40
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,177.17 / $4,177.17 / $4,177.17
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.89 / $1,533.94 / $2,245.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,047.00 / $5,319.00 / $20,279.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,104.04 / $1,555.93 / $3,538.93