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Missouri 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
$1,110.00 / $5,389.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.43 / $994.69 / $1,556.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,232.00 / $6,289.52 / $13,384.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.00 / $1,131.83 / $1,749.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.68 / $1,280.93 / $2,076.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$774.58 / $1,352.58 / $9,154.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.95 / $1,529.68 / $7,339.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $7,904.00 / $11,489.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.77 / $1,331.68 / $2,238.86