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Utah rates for HCPCS 63706

Repair Myelomeningocele > 5 Cm Diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,599.64 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,845.81 / $2,599.64 / $9,256.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,837.02 / $2,535.85 / $5,125.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.78 / $1,160.18 / $1,743.24
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,027.19 / $3,480.29 / $4,667.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.00 / $2,446.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,579.85 / $1,913.76 / $3,136.43