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Maryland rates for HCPCS 63706

Repair Myelomeningocele > 5 Cm Diameter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,645.56 / $1,936.30 / $5,036.47
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,870.00 / $2,085.06 / $2,210.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,668.30 / $2,300.46 / $4,150.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.51 / $2,596.40 / $3,317.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.00 / $173.00 / $471.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,416.29 / $2,002.85 / $3,810.68
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,661.74 / $2,314.62 / $2,775.80