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Virginia rates for HCPCS 33764

Shunt; central, with prosthetic graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,488.35 / $4,771.00 / $9,539.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.59 / $1,488.35 / $1,867.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,955.00 / $11,210.00 / $17,424.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.70 / $1,510.88 / $2,105.86
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,444.22 / $1,546.72 / $3,016.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,282.04 / $1,741.09 / $2,990.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,220.84 / $1,465.02 / $1,806.86
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,409.61 / $1,783.68 / $2,546.37
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,654.00 / $1,852.00 / $3,001.58
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,255.61 / $1,736.00 / $4,462.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.61 / $1,736.00 / $4,462.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,160.77 / $1,792.52 / $2,879.03