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Minnesota rates for HCPCS 63746

Removal of entire lumbosubarachnoid shunt system without replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.67 / $572.67 / $2,525.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.32 / $605.98 / $1,026.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,498.60 / $3,937.14 / $7,808.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,088.28 / $1,754.03 / $2,268.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,421.85 / $2,017.40 / $4,853.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,065.40 / $1,697.16 / $2,520.54
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,292.58 / $1,844.39 / $3,821.36
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.58 / $1,517.37 / $2,311.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.39 / $1,017.52 / $3,312.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.79 / $1,161.73 / $2,390.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,412.00 / $4,746.00 / $8,812.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.91 / $1,167.33 / $2,353.81