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Montana rates for HCPCS 63746

Removal of entire lumbosubarachnoid shunt system without replacement

Facilitymedian $1,072 · 10th–90th $813–$1,2020%50%10th90th$1,072Professionalmedian $832 · 10th–90th $575–$1,5140%10%10th90th$832$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $794.33 / $1,621.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,000.00 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $776.25 / $1,023.29
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,071.52 / $1,258.93
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,071.52 / $1,258.93
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $831.76 / $1,174.90
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $831.76 / $1,288.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $1,000.00 / $1,230.27