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Colorado rates for HCPCS 63746

Removal of entire lumbosubarachnoid shunt system without replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,532.00 / $4,955.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.12 / $605.98 / $841.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,434.00 / $5,126.00 / $9,729.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.77 / $861.50 / $1,381.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,324.79 / $1,324.79 / $4,173.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.50 / $815.60 / $1,195.80
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.13 / $734.52 / $1,026.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.31 / $887.55 / $1,224.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,852.00 / $6,118.00 / $11,599.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.72 / $852.60 / $1,883.88