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Nebraska rates for HCPCS 63700

Repair of meningocele; less than 5 cm diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,128.58 / $8,477.27 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,128.58 / $1,128.58 / $6,571.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,619.76 / $8,706.79 / $16,841.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.00 / $1,868.18 / $2,490.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,797.00 / $2,732.38 / $3,663.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,128.58 / $1,975.03 / $4,406.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,488.02 / $2,460.94 / $3,390.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,347.30 / $2,814.27 / $3,894.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,746.10 / $2,445.77 / $3,663.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $13,909.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,488.02 / $2,521.27 / $3,204.96