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Ohio rates for HCPCS 63706

Repair of myelomeningocele; larger than 5 cm diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,687.42 / $6,582.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.47 / $1,797.26 / $3,418.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,794.51 / $17,502.61 / $31,141.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,376.71 / $1,896.73 / $2,987.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,673.06 / $1,825.15 / $2,657.68
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.19 / $1,968.31 / $2,505.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,802.95 / $2,505.12 / $3,448.21
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,122.21 / $2,122.21 / $2,122.21
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,824.74 / $2,585.77 / $3,448.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.19 / $1,421.79 / $2,290.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.00 / $3,086.00 / $6,111.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,477.26 / $2,317.87 / $3,811.44