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Louisiana rates for HCPCS 63746

Removal of entire lumbosubarachnoid shunt system without replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $1,520.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.45 / $901.37 / $986.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.52 / $2,789.82 / $4,069.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.91 / $779.58 / $1,032.31
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $621.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.00 / $725.00 / $725.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.47 / $813.34 / $1,079.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,415.00 / $7,085.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.92 / $696.49 / $1,277.07