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Iowa rates for HCPCS 33764

Shunt Central W/Prosthetic Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,277.00 / $5,549.00 / $11,100.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.27 / $1,958.60 / $7,333.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,776.71 / $3,120.78 / $3,487.68
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,209.23 / $2,064.46 / $2,478.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,266.00 / $3,120.78 / $7,305.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,478.69 / $2,949.70 / $5,237.02
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,969.14 / $2,943.67 / $3,850.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.14 / $2,855.14 / $3,850.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,126.00 / $5,847.00 / $7,305.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,365.57 / $2,854.20 / $4,078.71
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,067.90 / $2,617.60 / $3,079.60