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Colorado rates for HCPCS 63704

Repair Myelomeningocele < 5 Cm Diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,551.00 / $5,503.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,520.03 / $1,630.65 / $2,161.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,350.00 / $15,967.00 / $33,678.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,719.51 / $2,326.33 / $3,730.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,644.85 / $2,190.67 / $3,265.68
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,630.65 / $2,065.23 / $2,763.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,811.84 / $2,388.34 / $3,294.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,640.00 / $8,535.00 / $12,740.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,644.25 / $2,340.73 / $4,060.45