go back

Ohio rates for HCPCS 33764

Shunt Central W/Prosthetic Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,452.87 / $6,582.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,452.87 / $1,471.28 / $3,806.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,895.00 / $5,945.00 / $29,406.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,065.01 / $1,566.18 / $2,618.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,267.76 / $1,267.76 / $1,846.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,367.19 / $1,367.19 / $1,603.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.49 / $1,884.31 / $2,749.97
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,297.33 / $1,904.18 / $2,615.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.95 / $1,278.10 / $1,814.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.00 / $3,086.00 / $6,792.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,319.87 / $1,696.11 / $2,586.89