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Maryland rates for HCPCS 63740

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.37 / $1,018.71 / $1,177.19
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.33 / $1,131.94 / $1,199.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.66 / $1,201.57 / $2,213.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.14 / $1,389.15 / $1,783.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.00 / $173.00 / $471.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.50 / $1,112.93 / $2,165.78
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.45 / $1,238.39 / $1,487.79