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Alaska rates for HCPCS 63700

Repair of meningocele; less than 5 cm diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,634.97 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,205.56 / $6,004.92 / $6,004.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,094.69 / $4,131.32 / $5,583.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,252.49 / $6,004.92 / $8,406.89
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,267.80 / $3,921.36 / $7,960.77
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,138.20 / $5,859.45 / $7,610.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,252.49 / $6,004.92 / $8,406.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,886.48 / $5,850.60 / $8,694.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,305.06 / $4,986.03 / $7,519.01