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Idaho rates for HCPCS 63706

Repair Myelomeningocele > 5 Cm Diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,744.56 / $2,599.64 / $4,276.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,952.27 / $2,603.03 / $3,091.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,750.84 / $3,273.92 / $4,918.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,034.19 / $3,310.02 / $4,140.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $2,790.11 / $3,108.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,205.96 / $3,771.72 / $4,140.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.00 / $3,700.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,950.48 / $2,764.32 / $3,856.16