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West Virginia rates for HCPCS 33764

Shunt; central, with prosthetic graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,364.13 / $1,364.13 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.33 / $1,400.88 / $1,642.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,387.59 / $1,584.76 / $1,726.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,534.76 / $1,534.76 / $1,534.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,487.77 / $1,487.77 / $1,487.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,251.36 / $1,918.46 / $8,367.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.93 / $1,731.86 / $2,313.82