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Illinois rates for HCPCS 63746

Removal of entire lumbosubarachnoid shunt system without replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$662.01 / $1,835.00 / $5,091.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.14 / $662.01 / $1,158.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,687.00 / $6,930.89 / $15,117.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.00 / $1,799.73 / $2,009.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.35 / $920.94 / $1,353.10
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.29 / $1,062.43 / $2,515.32
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.81 / $812.45 / $935.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,057.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,600.00 / $3,493.00 / $6,482.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.52 / $796.65 / $1,406.66