go back

Maine rates for HCPCS 63706

Repair Myelomeningocele > 5 Cm Diameter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,483.37 / $1,744.29 / $2,094.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,744.96 / $31,420.90 / $36,545.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,838.90 / $2,321.55 / $3,725.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.61 / $2,769.63 / $3,890.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,343.36 / $2,711.27 / $4,159.22
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,483.37 / $2,094.19 / $2,542.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,632.31 / $2,366.85 / $3,612.51