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Wyoming rates for HCPCS 33764

Shunt; central, with prosthetic graft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,311.15 / $1,311.15 / $1,311.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,006.00 / $3,390.00 / $4,068.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.03 / $1,787.81 / $3,117.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,532.90 / $3,300.90 / $5,166.47