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Missouri rates for HCPCS 63706

Repair of myelomeningocele; larger than 5 cm diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $5,389.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,557.02 / $1,863.74 / $2,905.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,232.00 / $6,492.00 / $15,862.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,697.45 / $2,088.16 / $3,348.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,746.23 / $2,440.07 / $3,947.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,367.00 / $2,512.59 / $9,475.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,878.08 / $2,879.40 / $13,189.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $7,904.00 / $11,489.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,729.59 / $2,582.84 / $3,973.12