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Idaho rates for HCPCS 63702

Repair of meningocele; larger than 5 cm diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,778.28 / $3,311.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $5,128.61 / $6,165.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,630.27 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,905.46 / $2,398.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $2,137.96 / $3,981.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,691.53 / $3,311.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,818.38 / $3,090.30
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $3,388.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $3,715.35 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $2,041.74 / $2,884.03