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Tennessee rates for HCPCS 63746

Removal of entire lumbosubarachnoid shunt system without replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.00 / $2,311.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.14 / $618.97 / $931.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,610.00 / $2,800.00 / $3,710.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.51 / $764.52 / $1,203.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.09 / $745.79 / $1,209.33
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,278.59 / $6,312.51 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,324.00 / $4,416.88 / $5,532.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,695.00 / $3,616.00 / $6,291.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.77 / $671.92 / $1,187.75