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Vermont rates for HCPCS 63704

Repair of myelomeningocele; less than 5 cm diameter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,862.09 / $4,073.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $2,089.30 / $3,548.13
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,238.72 / $2,630.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,238.72 / $3,890.45