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Iowa rates for HCPCS 63744

Replacement, irrigation or revision of lumbosubarachnoid shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $3,981.07 / $6,760.83
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $954.99 / $2,754.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,698.24 / $15,848.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,584.89 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $8,511.38 / $11,748.98