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Delaware rates for HCPCS 63746

Removal of entire lumbosubarachnoid shunt system without replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,949.00 / $3,949.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.54 / $593.96 / $593.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,014.78 / $1,014.78 / $1,014.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.58 / $576.72 / $1,130.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $1,485.00 / $1,485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.06 / $551.90 / $1,378.63