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Indiana rates for HCPCS 62258

Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$999.14 / $1,386.00 / $4,846.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,091.00 / $19,373.31 / $27,129.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$990.53 / $1,262.44 / $1,456.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.00 / $5,242.00 / $10,843.00