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
$4,083.97 / $8,477.27 / $19,276.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,501.19 / $11,181.39 / $21,628.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,450.98 / $6,450.98 / $6,450.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$592.70 / $1,074.75 / $8,632.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,597.49 / $8,171.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00