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Minnesota rates for HCPCS 63706

Repair of myelomeningocele; larger than 5 cm diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,694.40 / $1,694.40 / $1,694.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,647.04 / $1,744.56 / $2,929.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.96 / $830.40 / $13,360.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,268.29 / $5,261.74 / $6,638.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,183.89 / $5,936.34 / $14,280.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,133.01 / $4,990.82 / $7,412.13
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,803.54 / $5,427.24 / $11,244.63
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,836.53 / $4,463.18 / $6,797.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.00 / $2,863.54 / $4,697.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,976.08 / $3,409.06 / $7,239.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,720.00 / $3,500.00 / $8,152.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,976.08 / $3,406.12 / $6,918.14