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Alaska rates for HCPCS 63744

Replacement, irrigation or revision of lumbosubarachnoid shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,741.00 / $10,480.00 / $13,413.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$635.04 / $3,130.53 / $4,382.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.55 / $3,130.53 / $4,382.74