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Virginia rates for HCPCS 63707

Repair of dural/cerebrospinal fluid leak, not requiring laminectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,049.03 / $4,771.00 / $9,539.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,385.00 / $9,527.62 / $13,270.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $640.00 / $1,079.51
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$106.59 / $106.59 / $106.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.26 / $1,166.33 / $1,378.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$959.51 / $1,227.36 / $1,837.88
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$153.16 / $232.15 / $384.68
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.55 / $1,168.48 / $2,209.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $2,959.00 / $5,226.00