go back

Maine rates for HCPCS 63700

Repair of meningocele; less than 5 cm diameter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.58 / $1,215.89 / $1,484.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,238.91 / $14,271.05 / $16,598.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.11 / $1,705.79 / $2,648.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,397.58 / $1,973.35 / $2,765.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,665.70 / $1,927.21 / $2,956.45
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.58 / $1,484.67 / $1,786.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.41 / $1,632.66 / $2,573.05