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Utah rates for HCPCS 63700

Repair Meningocele < 5 Cm Diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,822.53 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,310.45 / $1,822.53 / $6,571.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,292.01 / $1,771.08 / $3,781.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.64 / $930.24 / $1,256.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,147.69 / $2,472.92 / $3,231.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.00 / $2,446.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,081.60 / $1,354.32 / $2,181.96