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Wyoming rates for HCPCS 63746

Removal of entire lumbosubarachnoid shunt system without replacement

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.98 / $616.04 / $763.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,063.00 / $2,063.00 / $2,063.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,263.00 / $1,516.00 / $2,440.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.94 / $1,226.16 / $1,550.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,607.00 / $2,607.00 / $10,877.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.60 / $1,224.52 / $1,947.41