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New Mexico rates for HCPCS 63744

Replacement, irrigation or revision of lumbosubarachnoid shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$653.21 / $7,838.38 / $8,763.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.55 / $836.89 / $1,117.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $11,259.00 / $16,897.00