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Oklahoma rates for HCPCS 63744

Replacement, irrigation or revision of lumbosubarachnoid shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,048.00 / $3,803.00 / $12,600.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,235.45 / $14,671.87 / $23,181.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,933.12 / $6,933.12 / $6,933.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$614.77 / $973.99 / $8,753.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.00 / $5,524.00 / $9,232.95