go back

California rates for HCPCS 75809

Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation

Facilitymedian $65 · 10th–90th $21$1450%20%10th90th$65Professionalmedian $107 · 10th–90th $66$3240%10%10th90th$107$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$20.89 / $41.69 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $97.72 / $323.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $117.49 / $269.15
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $144.54 / $263.03
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$5.62 / $25.70 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $112.20 / $218.78
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $114.82 / $154.88
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.75 / $26.92 / $36.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $104.71 / $194.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $30.90 / $50.12
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$144.54 / $144.54 / $144.54
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $758.58
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $33.11 / $77.62
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $114.82 / $218.78
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $302.00 / $302.00
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $60.26 / $104.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $95.50 / $208.93