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Alaska rates for HCPCS 63702

Repair of meningocele; larger than 5 cm diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,973.70 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,317.82 / $6,564.49 / $6,564.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,386.26 / $4,525.99 / $6,091.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,368.56 / $6,564.49 / $9,190.29
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,568.63 / $4,282.35 / $8,693.61
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,527.60 / $6,398.85 / $8,336.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,368.56 / $6,564.49 / $9,190.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,062.00 / $6,387.15 / $9,523.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,620.80 / $3,733.20 / $8,237.32