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Nebraska rates for HCPCS 63746

Removal of entire lumbosubarachnoid shunt system without replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,653.00 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.54 / $531.54 / $3,068.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,009.30 / $3,958.05 / $7,656.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.70 / $882.44 / $1,176.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,387.40 / $1,387.40 / $1,387.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.12 / $1,286.55 / $1,697.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.54 / $956.79 / $5,278.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.71 / $1,145.63 / $1,584.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $1,387.40 / $1,849.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.51 / $1,216.99 / $1,697.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,522.47 / $5,356.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.71 / $1,182.93 / $1,405.66