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New Jersey rates for HCPCS 63744

Replacement, irrigation or revision of lumbosubarachnoid shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.95 / $5,982.00 / $10,871.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,564.67 / $14,995.29 / $33,762.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,682.00 / $9,969.00 / $19,696.00