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Oregon rates for HCPCS 63704

Repair of myelomeningocele; less than 5 cm diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $4,073.80 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,819.70 / $4,466.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,884.03 / $4,365.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $3,467.37 / $4,073.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $2,398.83 / $3,890.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,019.95 / $4,365.16
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $3,090.30 / $3,388.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $2,454.71 / $3,630.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $3,090.30 / $4,466.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $8,709.64 / $8,709.64
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $3,467.37 / $4,677.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $10,232.93 / $37,153.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $3,162.28 / $4,466.84