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Georgia rates for HCPCS 63704

Repair Myelomeningocele < 5 Cm Diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,702.38 / $5,045.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,435.43 / $1,865.84 / $3,033.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,874.38 / $7,874.38 / $7,874.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,361.69 / $8,967.21 / $21,657.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,557.31 / $2,391.98 / $4,539.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,359.73 / $2,359.73 / $2,359.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $1,911.67 / $2,500.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,654.99 / $2,519.13 / $4,510.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,950.09 / $2,713.17 / $4,903.97
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,758.16 / $2,824.31 / $3,227.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $3,587.00 / $9,079.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,428.91 / $2,128.21 / $3,900.92