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California rates for HCPCS 63746

Removal of entire lumbosubarachnoid shunt system without replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,919.00 / $6,159.00 / $17,030.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.06 / $605.98 / $3,068.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.00 / $5,863.00 / $11,400.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.76 / $870.41 / $1,683.12
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $6,929.19
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.50 / $501.35 / $1,160.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,816.42 / $1,819.64 / $3,253.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.36 / $718.22 / $1,593.03
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.30 / $695.57 / $939.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.40 / $792.06 / $1,428.05
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,278.59 / $6,312.51 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,324.00 / $4,416.88 / $5,532.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$566.04 / $757.90 / $1,070.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.36 / $745.94 / $1,610.02
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,903.90 / $1,903.90 / $1,903.90
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.99 / $630.39 / $770.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,523.00 / $7,359.00 / $15,471.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.64 / $609.00 / $1,311.45