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Indiana rates for HCPCS 63744

Replacement, irrigation or revision of lumbosubarachnoid shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.24 / $2,318.00 / $11,093.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,309.00 / $7,200.00 / $15,727.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.79 / $814.84 / $940.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,763.60 / $5,763.60 / $6,832.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,472.00 / $10,113.00 / $15,750.00