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Maryland rates for HCPCS 63746

Removal of entire lumbosubarachnoid shunt system without replacement

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.54 / $646.51 / $1,666.34
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.00 / $655.72 / $720.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.00 / $453.73 / $873.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.53 / $752.46 / $1,372.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.76 / $862.78 / $1,112.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.00 / $520.00 / $733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.83 / $649.08 / $1,246.96
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.90 / $769.14 / $925.47