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New York rates for HCPCS 63744

Replacement, irrigation or revision of lumbosubarachnoid shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$932.73 / $4,452.00 / $10,686.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,046.00 / $7,264.00 / $12,538.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$959.21 / $1,990.00 / $8,917.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.36 / $818.36 / $818.36
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $940.00 / $2,023.45
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$664.32 / $664.32 / $664.32
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $49,110.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,963.00 / $14,770.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$792.55 / $792.55 / $2,646.92