go back

Maryland rates for HCPCS 33764

Shunt Central W/Prosthetic Graft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.33 / $1,622.63 / $3,312.46
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,444.22 / $1,546.72 / $2,060.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,251.36 / $1,586.67 / $3,359.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,366.85 / $1,763.24 / $2,917.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,141.58 / $1,496.43 / $2,725.50
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,069.56 / $1,069.56 / $1,917.96