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Alaska rates for HCPCS 63740

Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; including laminectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,727.13 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.94 / $4,505.18 / $4,505.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,318.56 / $3,084.49 / $4,207.49
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$905.94 / $4,505.18 / $6,307.25
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,462.38 / $2,954.85 / $5,998.65
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,097.60 / $4,415.25 / $5,694.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$942.54 / $4,505.18 / $6,307.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,415.68 / $4,402.64 / $6,505.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,467.60 / $3,722.63 / $5,613.79