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Utah rates for HCPCS 63702

Repair Meningocele > 5 Cm Diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,019.04 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,431.47 / $2,019.04 / $7,177.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,419.44 / $1,994.86 / $3,875.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.14 / $919.64 / $1,368.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,346.98 / $2,698.62 / $4,031.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.00 / $2,446.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.84 / $1,481.77 / $2,387.28