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Washington, DC rates for HCPCS 63746

Removal of entire lumbosubarachnoid shunt system without replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $4,004.00 / $4,601.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.51 / $646.51 / $646.51
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.72 / $675.44 / $4,131.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.79 / $739.63 / $1,629.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.54 / $1,445.23 / $1,445.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.00 / $2,343.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.51 / $794.93 / $1,710.61