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Michigan rates for HCPCS 63700

Repair of meningocele; less than 5 cm diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,717.16 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.78 / $1,620.68 / $1,783.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,433.98 / $6,377.89 / $8,641.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.10 / $1,381.69 / $2,364.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.01 / $1,471.56 / $2,826.42
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,408.53 / $1,717.16 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,352.19 / $1,545.36 / $2,130.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.71 / $1,089.02 / $1,676.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.00 / $4,645.00 / $6,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.84 / $1,493.46 / $1,915.53