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California rates for HCPCS 63744

Replacement, irrigation or revision of lumbosubarachnoid shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,820.00 / $6,640.00 / $17,701.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,456.00 / $7,140.00 / $14,981.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $8,393.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.00 / $8,445.83 / $15,126.86
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.82 / $798.45 / $1,077.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.96 / $913.88 / $1,647.35
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,141.24 / $24,393.30 / $26,542.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.98 / $879.95 / $1,277.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,799.00 / $12,313.00 / $26,451.00