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New Jersey rates for HCPCS 63746

Removal of entire lumbosubarachnoid shunt system without replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.27 / $5,244.00 / $9,950.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.32 / $617.27 / $986.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.32 / $941.53 / $2,177.73
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.71 / $814.64 / $1,045.29
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,831.30 / $3,831.30 / $9,054.09
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.70 / $713.18 / $1,580.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,415.00 / $7,250.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.98 / $827.08 / $2,198.03