go back

Michigan rates for HCPCS 63706

Repair of myelomeningocele; larger than 5 cm diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,423.07 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.47 / $2,423.07 / $2,850.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,259.98 / $9,694.79 / $13,134.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.12 / $1,769.38 / $3,148.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,410.13 / $2,072.58 / $3,972.21
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,003.38 / $2,423.07 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,906.91 / $2,179.33 / $3,117.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.91 / $1,365.18 / $2,250.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.00 / $4,645.00 / $6,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,841.78 / $2,167.92 / $2,914.25