go back

Arizona rates for HCPCS 75809

Shuntogram Indwelling Nonvascular Shunt Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.95 / $71.16 / $96.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.69 / $88.51 / $140.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $70.47 / $88.09
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.82 / $25.82 / $25.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.77 / $102.72 / $195.72
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$102.96 / $102.96 / $102.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.56 / $100.25 / $758.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.48 / $92.75 / $152.91