go back

Nebraska rates for HCPCS 63744

Replacement, irrigation or revision of lumbosubarachnoid shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $7,244.36 / $13,489.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $11,220.18 / $21,877.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $4,265.80 / $4,265.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,071.52 / $9,549.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,513.56 / $2,137.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $4,265.80 / $4,265.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $6,456.54 / $8,912.51