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Kentucky rates for HCPCS 63746

Removal of entire lumbosubarachnoid shunt system without replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.71 / $787.00 / $5,320.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.71 / $556.12 / $675.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.00 / $2,316.00 / $4,229.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $507.52 / $777.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$539.02 / $797.54 / $920.02
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.66 / $769.05 / $1,139.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.23 / $704.17 / $704.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.88 / $757.53 / $1,137.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $740.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $1,700.00 / $6,295.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.19 / $698.94 / $1,042.15