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Virginia rates for HCPCS 63744

Replacement, irrigation or revision of lumbosubarachnoid shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$757.91 / $5,087.00 / $8,294.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $640.00 / $818.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.41 / $887.01 / $1,048.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$684.00 / $877.40 / $1,288.45
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.29 / $860.55 / $2,946.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,423.00 / $11,475.00 / $21,639.00