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Missouri rates for HCPCS 63707

Repair of dural/cerebrospinal fluid leak, not requiring laminectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,144.29 / $4,908.00 / $12,154.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,232.00 / $6,289.52 / $13,384.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.09 / $1,322.37 / $9,154.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$233.45 / $233.45 / $439.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $7,904.00 / $11,489.00