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Missouri rates for HCPCS 63702

Repair of meningocele; larger than 5 cm diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,487.58 / $5,389.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.04 / $1,444.67 / $2,254.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,232.00 / $6,289.52 / $13,384.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,327.47 / $1,666.84 / $2,582.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,304.03 / $1,891.61 / $3,090.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,142.08 / $1,968.55 / $9,475.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,436.56 / $2,234.17 / $10,237.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $7,904.00 / $11,489.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,366.61 / $1,968.55 / $3,207.85