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California rates for HCPCS A4740

Shunt Accessory

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.68 / $11.68 / $11.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.68 / $28.52 / $28.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116,039.99 / $116,039.99 / $525,159.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.40 / $4.00
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.27 / $18.60 / $31.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,426.43 / $1,426.43 / $1,426.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.77 / $638.07 / $801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $1,536.15
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,975.05 / $1,975.05 / $1,975.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $70.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.68 / $28.52 / $37.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $2,400,000.00 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00