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Kansas rates for HCPCS 63704

Repair of myelomeningocele; less than 5 cm diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.35 / $7,655.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,467.66 / $1,679.53 / $2,621.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,967.74 / $2,314.98 / $2,314.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $624.00 / $624.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,676.40 / $2,162.12 / $3,336.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$909.00 / $2,081.00 / $4,214.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,655.26 / $2,028.29 / $11,909.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.00 / $1,743.00 / $5,562.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,608.08 / $1,982.60 / $2,743.23