go back

Montana rates for HCPCS 63702

Repair Meningocele > 5 Cm Diameter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,463.03 / $1,859.28 / $7,177.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,307.21 / $2,307.21 / $2,307.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.08 / $2,307.21 / $2,412.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,137.41 / $1,498.52 / $2,307.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,382.96 / $2,305.08 / $2,992.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,954.10 / $2,304.96 / $2,608.71