go back

Alaska rates for HCPCS 63746

Removal of entire lumbosubarachnoid shunt system without replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,872.00 / $8,303.41 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.29 / $2,781.45 / $2,781.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,429.24 / $1,895.63 / $2,615.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$561.29 / $2,781.45 / $3,894.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,530.80 / $1,836.96 / $3,729.21
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,914.00 / $2,744.85 / $3,548.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.73 / $2,781.45 / $3,894.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.53 / $2,729.79 / $4,007.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,516.50 / $2,287.80 / $3,450.04