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Maine rates for HCPCS 63746

Removal of entire lumbosubarachnoid shunt system without replacement

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.71 / $618.97 / $690.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.32 / $780.59 / $1,240.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.03 / $923.91 / $1,297.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.29 / $902.80 / $1,384.94
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.71 / $690.45 / $821.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.01 / $799.65 / $1,252.68