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Michigan rates for HCPCS 63702

Repair Meningocele > 5 Cm Diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,876.92 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,232.80 / $1,767.34 / $1,949.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,039.19 / $7,088.23 / $9,603.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.59 / $1,373.50 / $2,444.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.61 / $1,648.41 / $3,083.86
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,552.46 / $1,876.92 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,478.80 / $1,690.06 / $2,405.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.32 / $1,081.48 / $1,773.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.00 / $4,645.00 / $6,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,400.09 / $1,656.46 / $2,129.71