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Minnesota rates for HCPCS 33764

Shunt; central, with prosthetic graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,348.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,584.89 / $2,398.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $5,370.32 / $19,054.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,884.03 / $4,677.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $4,466.84 / $10,715.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $3,801.89 / $5,754.40
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $4,265.80 / $8,317.64
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $3,235.94 / $4,786.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $2,454.71 / $3,981.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,570.40 / $5,248.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,467.37 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,630.27 / $5,128.61