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New York rates for HCPCS 63746

Removal of entire lumbosubarachnoid shunt system without replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$837.72 / $3,951.00 / $10,170.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.65 / $689.91 / $1,377.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,385.00 / $4,133.00 / $9,074.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.51 / $645.12 / $1,454.73
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.40 / $1,716.00 / $6,213.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.40 / $848.40 / $848.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.17 / $704.17 / $704.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.21 / $947.06 / $2,638.61
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $715.00 / $1,737.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.16 / $972.72 / $1,489.96
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.05 / $572.05 / $572.05
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.96 / $709.81 / $1,289.26
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $49,110.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.54 / $942.88 / $2,584.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,031.00 / $4,840.00 / $10,931.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.82 / $848.59 / $2,029.87
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.81 / $709.81 / $2,035.59
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.96 / $784.40 / $1,544.93