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Oklahoma rates for HCPCS 63706

Repair Myelomeningocele > 5 Cm Diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.00 / $3,742.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,483.37 / $1,647.04 / $1,888.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,837.14 / $2,321.65 / $2,862.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.00 / $2,058.80 / $5,882.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,608.92 / $2,032.31 / $13,189.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,760.00 / $6,155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,534.82 / $1,909.59 / $2,666.74