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Montana rates for HCPCS 63700

Repair of meningocele; less than 5 cm diameter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,337.30 / $1,704.44 / $6,571.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,114.23 / $2,114.23 / $2,114.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.23 / $2,114.23 / $2,114.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,102.88 / $1,971.82 / $2,114.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,041.60 / $1,348.19 / $2,114.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,265.53 / $1,971.82 / $2,738.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,699.88 / $2,106.71 / $2,384.35