go back

Missouri rates for HCPCS 63744

Replacement, irrigation or revision of lumbosubarachnoid shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.00 / $4,610.00 / $8,485.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $5,617.00 / $12,691.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$636.33 / $1,028.94 / $19,103.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.00 / $4,600.00 / $10,781.00