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Tennessee rates for HCPCS 63702

Repair Meningocele > 5 Cm Diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,821.00 / $3,012.14 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.04 / $1,423.71 / $2,161.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,428.00 / $2,344.00 / $4,147.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,301.48 / $1,759.50 / $2,758.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,386.89 / $1,827.86 / $2,834.08
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $14,651.82 / $14,983.92
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,016.00 / $10,237.84 / $12,958.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.00 / $2,665.00 / $4,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.20 / $1,589.43 / $2,966.39