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Texas rates for HCPCS 63744

Replacement, irrigation or revision of lumbosubarachnoid shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$767.00 / $3,224.00 / $11,453.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,297.03 / $8,318.61 / $16,416.84
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $711.68 / $738.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.36 / $818.36 / $818.36
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,141.24 / $24,393.30 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$633.61 / $790.14 / $1,268.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$636.88 / $793.17 / $1,387.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $6,000.00 / $13,134.00