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Montana 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 $35 · 10th–90th $35–$440%20%40%90th$35Professionalmedian $123 · 10th–90th $79–$2290%10%10th90th$123$50.0$100.0$200.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $109.65 / $245.47
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $128.82
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$35.48 / $35.48 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $128.82 / $218.78
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $151.36 / $251.19
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$35.48 / $35.48 / $43.65
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $181.97 / $218.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $93.33 / $165.96