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Massachusetts rates for HCPCS 63746

Removal of entire lumbosubarachnoid shunt system without replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,421.00 / $2,663.12 / $3,693.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.12 / $618.97 / $1,026.24
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.00 / $3,630.26 / $9,039.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.90 / $1,021.52 / $4,324.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.11 / $1,001.48 / $1,657.58
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.44 / $1,333.38 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.92 / $852.68 / $1,173.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.37 / $1,537.09 / $2,060.92
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $4,525.00 / $16,394.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.20 / $1,032.84 / $4,324.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $3,764.00 / $8,766.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.24 / $924.43 / $1,805.81