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Minnesota rates for HCPCS 33764

Shunt Central W/Prosthetic Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,342.36 / $1,342.36 / $1,342.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.36 / $1,342.36 / $1,958.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,567.71 / $5,520.59 / $10,921.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,062.08 / $3,140.29 / $4,757.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,984.14 / $4,231.88 / $10,180.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,422.81 / $3,943.12 / $5,718.50
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,425.89 / $3,868.96 / $8,016.04
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,024.71 / $3,249.66 / $4,837.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,755.94 / $2,478.35 / $3,688.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,632.35 / $2,787.31 / $5,512.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.00 / $3,500.00 / $8,152.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,637.01 / $2,758.76 / $5,299.05