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North Carolina rates for HCPCS 63744

Replacement, irrigation or revision of lumbosubarachnoid shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.86 / $1,245.00 / $8,413.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,206.13 / $3,206.13 / $3,252.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $7,381.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.86 / $782.94 / $1,237.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,183.00 / $12,216.00 / $19,066.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,141.24 / $24,393.30 / $26,542.00