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North Dakota rates for HCPCS 63746

Removal of entire lumbosubarachnoid shunt system without replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.40 / $577.40 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.41 / $572.67 / $662.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,244.70 / $1,369.23 / $1,605.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.35 / $1,437.16 / $1,914.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.40 / $630.28 / $1,017.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.96 / $1,093.56 / $1,480.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.96 / $1,048.28 / $1,325.42