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Massachusetts 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$17.51 / $17.51 / $65.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $83.31 / $110.11
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.41 / $56.75 / $111.44
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.73 / $129.10 / $758.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.06 / $145.97 / $269.20
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.13 / $87.96 / $155.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.53 / $197.31 / $260.27
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.41 / $111.44 / $111.44
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.89 / $129.85 / $758.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.31 / $111.30 / $222.35