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Idaho rates for HCPCS 63744

Replacement, irrigation or revision of lumbosubarachnoid shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,897.00 / $4,500.00 / $7,761.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,162.93 / $5,162.93 / $5,177.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$635.28 / $1,190.08 / $1,849.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,634.13 / $15,806.20 / $20,605.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $10,120.00 / $27,159.00