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Rhode Island rates for HCPCS 63704

Repair Myelomeningocele < 5 Cm Diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,471.88 / $1,938.03 / $2,418.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.61 / $2,071.44 / $3,489.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,071.42 / $2,478.69 / $3,406.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,649.00 / $2,257.00 / $6,383.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,429.82 / $2,306.44 / $3,939.84