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Maine rates for HCPCS 63702

Repair Meningocele > 5 Cm Diameter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.24 / $1,416.46 / $1,622.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,238.91 / $14,271.05 / $16,598.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,451.73 / $1,878.71 / $2,891.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,528.37 / $2,151.88 / $3,018.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.04 / $2,104.63 / $3,228.61
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.24 / $1,622.87 / $1,978.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.33 / $1,793.23 / $2,830.43