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California rates for HCPCS 63706

Repair of myelomeningocele; larger than 5 cm diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,722.60 / $10,004.00 / $20,509.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,514.59 / $1,863.74 / $9,256.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,314.00 / $11,222.00 / $26,030.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,890.39 / $2,761.67 / $5,063.53
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.90 / $100.00 / $7,300.60
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,300.68 / $1,876.40 / $4,232.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.00 / $2,277.00 / $2,277.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,672.89 / $2,184.40 / $4,658.74
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.91 / $1,531.32 / $2,511.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,680.48 / $2,323.36 / $4,187.12
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $18,867.41 / $19,311.93
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,895.92 / $13,189.76 / $16,699.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,867.20 / $2,281.16 / $3,100.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,689.53 / $2,263.17 / $4,787.51
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,743.61 / $5,743.61 / $5,743.61
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,315.48 / $1,819.52 / $2,223.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,009.00 / $5,123.00 / $18,493.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,435.32 / $1,876.07 / $3,952.26