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North Dakota rates for HCPCS 33764

Shunt; central, with prosthetic graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,278.21 / $1,278.21 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.33 / $1,278.21 / $1,342.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,532.76 / $2,741.11 / $3,238.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,701.79 / $2,329.07 / $3,759.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,278.21 / $1,773.84 / $3,834.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,287.60 / $2,420.71 / $3,281.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,418.08 / $2,758.76 / $3,281.55