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Utah 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
$1,318.26 / $3,388.44 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,230.27 / $5,248.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,318.26 / $2,691.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $2,570.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,905.46 / $3,801.89
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $2,137.96 / $3,019.95
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,659.59 / $2,398.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $5,128.61 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,000.00 / $1,621.81