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Montana rates for HCPCS 63706

Repair of myelomeningocele; larger than 5 cm diameter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,888.61 / $2,394.33 / $9,256.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,975.50 / $2,975.50 / $2,975.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,564.07 / $2,847.14 / $2,975.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,465.18 / $1,957.73 / $2,975.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,783.78 / $2,847.14 / $3,859.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,498.51 / $3,030.11 / $3,508.55