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Wyoming rates for HCPCS 63704

Repair of myelomeningocele; less than 5 cm diameter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,630.65 / $1,672.55 / $2,054.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,426.00 / $4,111.00 / $6,618.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,025.95 / $3,078.16 / $4,174.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,340.73 / $3,327.32 / $5,415.81