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Missouri rates for HCPCS 63741

Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $3,235.94 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $741.31 / $2,187.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $6,918.31 / $13,803.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $776.25 / $1,230.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $831.76 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $870.96 / $1,412.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $954.99 / $9,549.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,000.00 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $3,890.45 / $9,772.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $831.76 / $1,380.38